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 CLIA number assigned to this NPI record is 49D1055246 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/28/2006 and was last updated on 4/20/2009.