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ODDYSSEY IV LLC NPI 1063467082


NPI Information

NPI: 1063467082
Provider Name: ODDYSSEY IV, LLC

Doing Business As: CENTER FOR ADVANCE IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2923 FRANKLIN RD SW
ROANOKE, VA
ZIP 24014
Phone: (540) 563-9840
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ODDYSSEY IV, LLC is a diagnostic radiology radiology in Roanoke, VA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ODDYSSEY IV, LLC NPI is 1063467082. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Center For Advance Imaging.

The provider's business location address is:

2923 FRANKLIN RD SW
ROANOKE, VA
ZIP 24014-001
Phone: (540) 563-9840
Fax: (540) 851-0881

The provider's authorized official is Naiyer Imam .
The authorized official title is President and has the following contact phone number (540) 563-9840.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 12/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FVXU05MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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