Short Pump Imaging LLC

NPI #1982651543 in Richmond, Virginia

Provider Information

NPI Number: 1982651543
Entity Type: Organization
Organization Name: Short Pump Imaging LLC
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: May 28, 2006
Last Updated: Feb 26, 2025

Practice Location

Address: 4200 GREYBULL DR STE 100
City: Richmond
State: Virginia
ZIP Code: 23233-7555
Phone: (804) 217-9729

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI)	261QM1200X
Clinic/Center - Radiology, Mammography — Radiology, Mammography	261QR0206X
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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