Organization
NOVA PORTABLE XRAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR KHASAWINAH (ADMINISTRATOR)
(573) 239-6116
Entity
Organization
Contact information
Practice address
4020 DAVID LN, ALEXANDRIA, VA 22311-1111
(573) 239-6116
Mailing address
4020 DAVID LN, ALEXANDRIA, VA 22311-1111
(573) 239-6116
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
10/28/2025
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