SHORT PUMP IMAGING LLC NPI 1982651543

NPI Information

SHORT PUMP IMAGING LLC is a radiology clinic center in Richmond, VA. SHORT PUMP IMAGING LLC NPI is 1982651543. The provider is registered as an organization entity type.
The provider Is Doing Business As Independence Park Imaging.

The provider's business location address is:

9930 INDEPENDENCE PARK DR
STE 100
RICHMOND, VA
ZIP 23233-446
Phone: (804) 217-9729
Fax: (804) 217-9584

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

The enumeration date for this NPI number is 5/28/2006 and was last updated on 4/20/2009.

Taxonomy Codes

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Other Identifiers

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