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UVA OUTPATIENT IMAGING CENTREVILLE LLC NPI 1255399507


NPI Information

NPI: 1255399507
Provider Name: UVA OUTPATIENT IMAGING CENTREVILLE LLC

Doing Business As: UVA HEALTH OUTPATIENT IMAGING CENTREVILLE

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 49D2110745

Address:
6208 MULTIPLEX DRIVE
SUITE 100
CENTREVILLE, VA
ZIP 20121
Phone: (703) 825-2244
Get Directions

UVA OUTPATIENT IMAGING CENTREVILLE LLC is a diagnostic radiology radiology in Centreville, VA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. UVA OUTPATIENT IMAGING CENTREVILLE LLC NPI is 1255399507. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Uva Health Outpatient Imaging Centreville.

The provider's business location address is:

6208 MULTIPLEX DRIVE
SUITE 100
CENTREVILLE, VA
ZIP 20121-324
Phone: (703) 825-2244
Fax: (703) 830-3610

The provider's authorized official is Charles D Coder .
The authorized official title is Cfo and has the following contact phone number (804) 835-2069.

The CLIA number assigned to this NPI record is 49D2110745 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 9/26/2023.


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
12085R0202XRadiologyDiagnostic RadiologyVIRGINIAYes

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
1010062381MEDICAIDVIRGINIA
27217512OTHERAETNA
3P00450165OTHERMEDICARE RAILROAD
4185293OTHERVIRGINIABC
5J428OTHERCAREFIRST

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.