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NPI Code Detail

MEDICARE: VIRGINIA MOBILE X-RAY SERVICES, INC

MEDICARE: VIRGINIA MOBILE X-RAY SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0208XMobile Radiology Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326083627
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIA MOBILE X-RAY SERVICES, INC
Provider Business Mailing Address
First Line : 4112 FITZHUGH AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3827
Country : US
Telephone Number : 804-359-5492
Fax Number :
Provider Business Practice Location Address
First Line : 4112 FITZHUGH AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3827
Country : US
Telephone Number : 804-359-5492
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. ANDRE RHODES
Credential :
Telephone Number : 804-359-5492
Provider Enumeration Date : 06/19/2006
Last Update Date : 08/22/2020

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Directions to “VIRGINIA MOBILE X-RAY SERVICES, INC ” Practice Location

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