BROAD 64 IMAGING LLC; NPI #1316015985

Contact Information

BROAD 64 IMAGING LLC

6605 W BROAD ST
SUITE B - GROUND FLOOR
RICHMOND, VA 23230

Phone: 804-281-0215
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for BROAD 64 IMAGING LLC

NPI #	`1316015985`
LBN Legal business name	BROAD 64 IMAGING LLC
Authorized official	KIMBERLY RALSTON - (SYSTEM DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/01/2006
Last updated	11/04/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BROAD 64 IMAGING LLC

Contact Information

Specialty

Radiology

NPI Profile & details for BROAD 64 IMAGING LLC

Reviews for BROAD 64 IMAGING LLC