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Contact Information

NOVA PORTABLE XRAY LLC
4020 DAVID LN
ALEXANDRIA, VA22311-1111
 Phone: 573-239-6116
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Portable Xray Supplier

335V00000X 63 Portable X-Ray Supplier
Indicates primary specialty

NPI Profile & details for NOVA PORTABLE XRAY LLC

NPI Number 1891402293
LBN Legal business name NOVA PORTABLE XRAY LLC
Authorized official OMAR KHASAWINAH - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2022
Last updated 10/28/2025 - About 7 months 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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