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