Healthcare Provider Details

I. General information

NPI: 1447297577
Provider Name (Legal Business Name): RADIOLOGY ASSOCIATES OF RICHMOND INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 09/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2602 BUFORD RD
RICHMOND VA
23235-3422
US

IV. Provider business mailing address

2602 BUFORD RD
RICHMOND VA
23235-3422
US

V. Phone/Fax

Practice location:
  • Phone: 804-272-8806
  • Fax:
Mailing address:
  • Phone: 804-272-8806
  • Fax: 804-272-2909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. CARL F FLANARY II
Title or Position: BUSINESS MANAGER
Credential:
Phone: 804-272-8806