BROAD 64 IMAGING LLC NPI 1316015985

NPI Information

  • NPI: 1316015985
  • Provider Name: BROAD 64 IMAGING LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • CLIA Number: 49D1085550
  • Address: 6605 W BROAD ST
    SUITE B - GROUND FLOOR
    RICHMOND, VA
    ZIP 23230
  • Phone: (804) 281-0215

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NPI Details

BROAD 64 IMAGING LLC is a radiology clinic center in Richmond, VA. BROAD 64 IMAGING LLC NPI is 1316015985. The provider is registered as an organization entity type.

The provider's business location address is:

6605 W BROAD ST
SUITE B - GROUND FLOOR
RICHMOND, VA
ZIP 23230
Phone: (804) 281-0215

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 CLIA number assigned to this NPI record is 49D1085550 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 2 views (HCPCS:71046)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Injection, gadoteridol, (prohance multipack), per ml (HCPCS:A9576)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Piflufolastat f-18, diagnostic, 1 millicurie (HCPCS:A9595)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)

The enumeration date for this NPI number is 12/1/2006 and was last updated on 11/4/2020.

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
1261QR0200XClinic/CenterRadiologyYes

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: 3/30/2025

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