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General NPI Number Information
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NPI Number | 1972455624
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Entity Type | Organization
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Legal Business Name | UVA OUTPATIENT IMAGING CENTREVILLE LLC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 7454 LIMESTONE DR
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City | GAINESVILLE
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State | VA
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Zip | 20155-4007
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Country | US
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Telephone | 571-636-9880
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Fax |
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Provider Business Mailing Address
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Address Line | 7454 LIMESTONE DR
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City | GAINESVILLE
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State | VA
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Zip | 20155-4007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CHARLES CODER
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Credential |
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Telephone | 804-835-2069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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