AVALON RADIOLOGY INC NPI 1982722492

NPI Information

  • NPI: 1982722492
  • Provider Name: AVALON RADIOLOGY INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 202 MAPLEWOOD AVE
    RADIOLOGY DEPARTMENT
    RONCEVERTE, WV
    ZIP 24970
  • Phone: (304) 497-2500

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NPI Details

AVALON RADIOLOGY INC is a diagnostic radiology radiology in Ronceverte, WV. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. AVALON RADIOLOGY INC NPI is 1982722492. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

202 MAPLEWOOD AVE
RADIOLOGY DEPARTMENT
RONCEVERTE, WV
ZIP 24970-334
Phone: (304) 497-2500

The provider's authorized official is Heather J Rose .
The authorized official title is President and has the following contact phone number (304) 497-2500.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 10/18/2007.

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 RadiologyWV 17711WEST VIRGINIAYes

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
10120343000MEDICAIDWEST VIRGINIA
29330991MEDICARE PINWEST VIRGINIA
317711OTHERWEST VIRGINIASTATE LICENSE
4F83747MEDICARE UPIN

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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