Short Pump Imaging LLC

NPI #1922208719 in Richmond, Virginia

Provider Information

NPI Number
1922208719
Entity Type
Organization
Organization Name
Short Pump Imaging LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Jul 20, 2007
Last Updated
Jul 20, 2007

Practice Location

Address
9930 INDEPENDENCE PARK DR.
Address 2
STE 100
ZIP Code
23233
Phone
(804) 217-9729

Authorized Official

Name
MR. LAVELLE R HARDIN
Title
CREDENTIALING COORDINATOR
Phone
(615) 344-8203

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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