National Provider Identifier Database

SHORT PUMP IMAGING LLC
Radiology


Contact Information

SHORT PUMP IMAGING LLC
4200 GREYBULL DR STE 100
RICHMOND, VA23233-7555
Phone: 804-217-9729
Fax:
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X
Magnetic Resonance Imaging (MRI) 261QM1200X
Radiology, Mammography 261QR0206X

* Indicates primary specialty

NPI Profile & details for SHORT PUMP IMAGING LLC

NPI Number 1982651543
Legal business name
LBN
SHORT PUMP IMAGING LLC
Authorized official LAVELLE HARDIN - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 05/28/2006
Last updated 02/26/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 010309107
  • VA Other: 196918 BCBS OF VA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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