HAYDRICK IMAGING (NPI# 1366773962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366773962 |
Entity Type | Organization |
Organization Name | HAYDRICK IMAGING |
Other Organization Name | (H.I.) |
Practice Address |
9016 Laurel Oak Ln Fredericksburg VA 22407-9356 |
Practice Telephone | 5408980439 |
Mailing Telephone | 5408980439 |
Enumeration Date | 2010-01-20 |
Last Update Date | 2010-01-20 |
Authorized Official Name | MR. RODERICK M JONES (PRESIDENT/CEO) |
Authorized Official Telephone | 5407355346 |
Authorized Official Credential | RT R CT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
Other Name | Type Code |
---|---|
(H.I.) | Other Name - Individual/Organization |
Street Address |
9016 LAUREL OAK LN |
City | FREDERICKSBURG |
State | VA |
Zip Code | 22407-9356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
Find all providers in zip 22407 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114122587 | Mmds International LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 845 Duff Patt Highway, Duffield, VA 24244-0584 | 2007-06-18 |
1861528747 | Mmds of Kingsport LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 367 Natures Way Dr, Duffield, VA 24244-5153 | 2007-02-26 |
1164583902 | Axios Care LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6603 W Broad St Ste 100, Richmond, VA 23230-1713 | 2006-12-13 |
1508943697 | Mobile Diagnostics PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 350 Lee Highway, Verona, VA 24482 | 2006-11-01 |
1801835889 | Berger and Burrow Enterprises Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2301 N Parham Rd Ste 4, Henrico, VA 23229-3171 | 2006-06-05 |
1396707345 | National Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6580 Valley Center Dr #302, Radford, VA 24141 | 2006-04-05 |
1538714704 | Pdi Health Va LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7400 Beaufont Springs Dr, North Chesterfield, VA 23225-5556 | 2019-08-05 |
1588226286 | United Diagnostic Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4115 Annandale Rd Ste 301d, Annandale, VA 22003-2500 | 2019-07-02 |
1598286437 | Physician's Mobile X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 210 Front Royal Pike, Winchester, VA 22602-7313 | 2017-06-30 |
1265713077 | Vpa PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 263 Mclaws Circle, Suite 105, Williamsburg, VA 23185-5629 | 2011-09-07 |
Find all providers with the same taxonomy |
City | FREDERICKSBURG |
Zip Code | 22407 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.