Provider Demographics
NPI:1629011341
Name:ABINGDON RADIOLOGY SERVICES LTD
Entity Type:Organization
Organization Name:ABINGDON RADIOLOGY SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:MULLENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:276-628-9331
Mailing Address - Street 1:PO BOX 918
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24212-0918
Mailing Address - Country:US
Mailing Address - Phone:276-628-9331
Mailing Address - Fax:276-628-1093
Practice Address - Street 1:HOSPITAL DRIVE
Practice Address - Street 2:GLENROCHIE PROFESSIONAL BLDG
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210
Practice Address - Country:US
Practice Address - Phone:276-628-9331
Practice Address - Fax:276-628-1093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty