APPOMATTOX IMAGING LLC (NPI# 1790983971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790983971 |
| Entity Type | Organization |
| Organization Name | APPOMATTOX IMAGING LLC |
| Practice Address |
930 South Ave Suite 101 Colonial Heights VA 23834-3621 |
| Practice Telephone | 8045242340 |
| Practice Fax Number | 8042728752 |
| Mailing Telephone | 8045242340 |
| Mailing Fax Number | 8042728752 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |
| Authorized Official Name | MR. LAVELLE R HARDIN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 6153448203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073713855 | Appomattox Imaging LLC | Radiology | 930 South Ave, Suite 101, Colonial Heights, VA 23834-3621 | 2007-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Appomattox Imaging LLC | One Park Plaza, Nashville, Tennessee 37203 |
| Street Address |
930 SOUTH AVE SUITE 101 |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104891332 | Rayudu Jujjavarapu | Surgery | 930 South Ave, Suite 4 A, Colonial Heights, VA 23834-3621 | 2006-02-21 |
| 1447600531 | Robyn Marie Browne | Audiologist | 930 South Ave, Suite 4b, Colonial Heights, VA 23834-3621 | 2016-06-20 |
| 1932500485 | Columbia/hca John Randolph, Inc. | Clinic/Center | 930 South Ave, Suite 2, Colonial Heights, VA 23834-3621 | 2014-09-15 |
| 1093905994 | John A Clay | Family Medicine | 930 South Ave, Colonial Heights, VA 23834-3621 | 2007-07-26 |
| 1073713855 | Appomattox Imaging LLC | Radiology | 930 South Ave, Suite 101, Colonial Heights, VA 23834-3621 | 2007-07-20 |
| 1548369796 | Tri City Surgical Associates | Specialist | 930 South Ave, Suite 4 A, Colonial Heights, VA 23834-3621 | 2006-09-22 |
| 1437164035 | Williamson Drug Company, Incorporated | Pharmacy | 930 South Ave, Ste 4, Colonial Heights, VA 23834-3621 | 2006-07-30 |
| 1982670360 | Christopher George Marshall | Family Medicine | 930 South Ave, Colonial Heights, VA 23834-3621 | 2006-02-27 |
| 1477529212 | Raymond Thomas Ross | Surgery | 930 South Ave, Suite 4a, Colonial Heights, VA 23834-3621 | 2006-02-23 |
| 1205801040 | Barton P Smith | Surgery | 930 South Ave, Suite 4 A, Colonial Heights, VA 23834-3621 | 2006-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
| 1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
| 1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
| 1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
| 1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
| 1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
| 1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| Find all providers in zip 23834 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013070325 | Petersburg Hospital Company LLC | Clinic/Center | 436 Clairmont Court, Colonial Heights, VA 23834 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346898897 | Viva Richmond LLC | Clinic/Center | 6600 W Broad St Ste 200b, Richmond, VA 23230-1709 | 2019-08-28 |
| 1699328500 | Fairfax Radiological Consultants PC | Clinic/Center | 8260 Willow Oaks Corporate Dr Ste 200, Fairfax, VA 22031-4515 | 2019-07-19 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1447538558 | Medarva Imaging | Clinic/Center | 1630 Wilkes Ridge Pkwy Ste 100, Richmond, VA 23233-7460 | 2011-07-25 |
| 1982995296 | Grafton Ct Imaging LLC | Clinic/Center | 4030 George Washington Mem Hwy Ste A, Grafton, VA 23692-2619 | 2011-04-21 |
| 1447555115 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 7110 Forest Ave Ste 100, Richmond, VA 23226-3762 | 2011-01-11 |
| 1356646004 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 11525 Midlothian Tpke Ste 103, Richmond, VA 23235-4763 | 2011-01-11 |
| 1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
| 1811193899 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 125 Woodstream Boulevard, Suite 109, Stafford, VA 22556 | 2007-06-26 |
| 1801946090 | Patient First Ct, LLC | Clinic/Center | 8247 Meadowbridge Rd, Mechanicsville, VA 23116-2329 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
| City | COLONIAL HEIGHTS |
| Zip Code | 23834 |
Please comment or provide details below to improve the information on APPOMATTOX IMAGING LLC.
| 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.