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1972455624 NPI number — UVA OUTPATIENT IMAGING CENTREVILLE LLC

NPI Number: 1972455624
Health Care Provider/Practitioner: UVA OUTPATIENT IMAGING CENTREVILLE LLC

Information about “1972455624” NPI (UVA OUTPATIENT IMAGING CENTREVILLE LLC) exists in 1972455624 in HTML format HTML  |  1972455624 in plain Text format TXT  |  1972455624 in PDF (Portable Document Format) PDF  |  1972455624 in an XML format XML  formats.

NPI Number : 1972455624 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972455624",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "UVA OUTPATIENT IMAGING CENTREVILLE LLC",
    "ParentOrgTIN": null,
    "OrgName": "UVA OUTPATIENT IMAGING CENTREVILLE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7454 LIMESTONE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GAINESVILLE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20155-4007",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7454 LIMESTONE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GAINESVILLE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "20155-4007",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "571-636-9880",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/13/2026",
    "LastUpdateDate": "02/13/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CODER",
    "AuthorizedOfficialFirstName": "CHARLES",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "804-835-2069",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QR0200X",
          "TaxonomyName": "Radiology Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "293D00000X",
          "TaxonomyName": "Physiological Laboratory",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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