Organization
BUFORD ROAD IMAGING LLC
Active
Other names
Three Chopt Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAVELLE R HARDIN (CREDENTIALING COORDINATOR)
(615) 344-8203
Entity
Organization
Contact information
Practice address
8923 THREE CHOPT RD, SUITE 103, RICHMOND, VA 23229-4660
(804) 285-9729
(804) 282-8204
Mailing address
8923 THREE CHOPT RD, SUITE 103, RICHMOND, VA 23229-4660
(804) 285-9729
(804) 282-8204
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
VA
261QR0206X
Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10353459
—
VA
01
—
246526
ANTHEM BCBS
VA
Enumeration date
10/06/2006
Last updated
05/07/2008
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