Crewe Outpatient Imaging LLC

NPI #1134427057 in Crewe, Virginia

Provider Information

NPI Number
1134427057
Entity Type
Organization
Organization Name
Crewe Outpatient Imaging LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Mar 1, 2011
Last Updated
Mar 4, 2011

Practice Location

Address
12522 W COLONIAL TRAIL HWY
Address 2
SUITE 1
City
Crewe
ZIP Code
23930-3329
Phone
(434) 538-0028

Authorized Official

Name
MR. LAVELLE R HARDIN
Title
MANAGED CARE ANALYST
Phone
(615) 372-5441

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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