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Contact Information

SHORT PUMP IMAGING LLC
4200 GREYBULL DR STE 100
RICHMOND, VA23233-7555
 Phone: 804-217-9729
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

261QR0200X 74 Radiation Therapy Center
 

Magnetic Resonance Imaging (MRI)

261QM1200X
 

Radiology, Mammography

261QR0206X
Indicates primary specialty

NPI Profile & details for SHORT PUMP IMAGING LLC

NPI # 1982651543
LBN Legal business name SHORT PUMP IMAGING LLC
Authorized official LAVELLE HARDIN - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2006
Last updated 02/26/2025 - More than a year ago
Identifiers
VA Medicaid 010309107
VA Other 196918 BCBS OF VA
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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