BON SECOURS-VIRGINIA HEALTHSOURCE INC. NPI 1356646004

NPI Information

NPI: 1356646004
Provider Name: BON SECOURS-VIRGINIA HEALTHSOURCE, INC.

Doing Business As: BON SECOURS MIDLOTHIAN IMAGING CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
11525 MIDLOTHIAN TPKE STE 103
RICHMOND, VA
ZIP 23235
Phone: (804) 594-2550
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BON SECOURS-VIRGINIA HEALTHSOURCE, INC. is a radiology clinic center in Richmond, VA. BON SECOURS-VIRGINIA HEALTHSOURCE, INC. NPI is 1356646004. The provider is registered as an organization entity type.
The provider Is Doing Business As Bon Secours Midlothian Imaging Center.

The provider's business location address is:

11525 MIDLOTHIAN TPKE STE 103
RICHMOND, VA
ZIP 23235-763
Phone: (804) 594-2550

The provider's authorized official is Kimberly Ralston .
The authorized official title is System Director and has the following contact phone number (419) 996-5119.

The enumeration date for this NPI number is 1/11/2011 and was last updated on 11/11/2020.

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	261QR0200X	Clinic/Center	Radiology	1212544	VIRGINIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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