Healthcare Provider Details

I. General information

NPI: 1215047964
Provider Name (Legal Business Name): RI, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8013 MIDLOTHIAN TPKE
RICHMOND VA
23235-5278
US

IV. Provider business mailing address

8013 MIDLOTHIAN TPKE
RICHMOND VA
23235-5278
US

V. Phone/Fax

Practice location:
  • Phone: 804-330-4600
  • Fax: 804-330-4647
Mailing address:
  • Phone: 804-330-4600
  • Fax: 804-330-4647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICKY L. SHUMAN
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 804-281-0215