Organization
RICHMOND WEST END DIAGNOSTIC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
7110 FOREST AVE, SUITE 100, RICHMOND, VA 23226-3786
(804) 673-4200
(804) 673-6513
Mailing address
PO BOX 931912, ATLANTA, GA 31193-1912
(866) 659-1211
(336) 774-1751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004991401
—
VA
01
—
346563800
DOL
VA
01
—
437406
BCBS VA
VA
01
—
470001621
MEDICARE RR
—
01
—
7946432
AETNA
—
Enumeration date
05/03/2006
Last updated
05/28/2008
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