Provider Demographics
NPI:1609433135
Name:VIRGINIA CARDIOVASCULAR IMAGING, CORP
Entity Type:Organization
Organization Name:VIRGINIA CARDIOVASCULAR IMAGING, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-598-4749
Mailing Address - Street 1:PO BOX 13166
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-0166
Mailing Address - Country:US
Mailing Address - Phone:804-598-4749
Mailing Address - Fax:804-200-4329
Practice Address - Street 1:8132 FOREST HILL AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-3265
Practice Address - Country:US
Practice Address - Phone:804-598-4749
Practice Address - Fax:804-200-4329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty