Organization
ORTHOVIRGINIA IMAGING
Active
Parent organization
ORTHOVIRGINA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOVIRGINA, INC.
Authorized official
NICOLE PROFFITT (CREDENTIALING/ENROLLMENT)
(804) 533-2357
Entity
Organization
Contact information
Practice address
8320 OLD COURTHOUSE RD STE 150, VIENNA, VA 22182-3848
(703) 667-4226
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(703) 810-5369
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
06/03/2022
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