VIRGINIA VASCULAR IMAGING LLC NPI 1902823727

NPI Information

  • NPI: 1902823727
  • Provider Name: VIRGINIA VASCULAR IMAGING LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • CLIA Number: 49D2115240
  • Address: 1201 SAM PERRY BLVD # B
    STE 265
    FREDERICKSBURG, VA
    ZIP 22401
  • Phone: (540) 654-9118

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NPI Details

VIRGINIA VASCULAR IMAGING LLC is a vascular and interventional radiology radiology in Fredericksburg, VA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. VIRGINIA VASCULAR IMAGING LLC NPI is 1902823727. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1201 SAM PERRY BLVD # B
STE 265
FREDERICKSBURG, VA
ZIP 22401-490
Phone: (540) 654-9118
Fax: (540) 654-9116

The provider's authorized official is Michael P Mcdermott .
The authorized official title is President and has the following contact phone number (540) 654-9118.

The CLIA number assigned to this NPI record is 49D2115240 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 4/20/2008.

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
12085R0204XRadiologyVascular & Interventional RadiologyYes

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
1=========OTHERTRICARE
21902823727MEDICAIDVIRGINIA
3C09912MEDICARE PINVIRGINIA

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: 11/21/2025

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