Healthcare Provider Details

I. General information

NPI: 1881473247
Provider Name (Legal Business Name): ALIGNED INTERVENTIONAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 02/22/2025
Certification Date: 02/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8006 DISCOVERY DR STE 303
HENRICO VA
23229-8600
US

IV. Provider business mailing address

445 DIMMOCK PKWY STE 100
COLONIAL HEIGHTS VA
23834-2990
US

V. Phone/Fax

Practice location:
  • Phone: 804-554-0102
  • Fax:
Mailing address:
  • Phone: 804-554-0102
  • Fax: 804-594-0435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MITESH AMIN
Title or Position: AO
Credential:
Phone: 804-400-1322