ROANOKE IMAGING LLC NPI 1073750816

NPI Information

NPI: 1073750816
Provider Name: ROANOKE IMAGING LLC

Doing Business As: LEWIS GALE IMAGING AT BRAMBLETON

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4330 BRAMBLETON AVE
ROANOKE, VA
ZIP 24018
Phone: (540) 688-6763
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ROANOKE IMAGING 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. ROANOKE IMAGING LLC NPI is 1073750816. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lewis Gale Imaging At Brambleton.

The provider's business location address is:

4330 BRAMBLETON AVE
ROANOKE, VA
ZIP 24018-405
Phone: (540) 688-6763
Fax: (540) 283-3701

The provider's authorized official is Lavelle R Hardin .
The authorized official title is Analyst and has the following contact phone number (615) 344-8203.

The CLIA number assigned to this NPI record is 49D2136910 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/15/2009 and was last updated on 6/9/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GC1203	MEDICARE PIN	VIRGINIA
2	1073750816	OTHER	VIRGINIA	BCBS
3	1073750816	MEDICAID	VIRGINIA

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

NPI Synchronization or Removal

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