Organization Active NPI

Oddyssey IV, LLC

Doing business as Center for Advance Imaging

  • Diagnostic Radiology Physician
  • Roanoke, VA
National Provider Identifier
1063467082
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ODDYSSEY IV, LLC
Doing business as
Center for Advance Imaging
Practice address
2923 Franklin Rd SW
Roanoke, VA 24014-1001
Phone
(540) 563-9840
Fax
(540) 851-0881
NPI assigned
May 24, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Naiyer Imam, M. D.
Title
President
Phone
(540) 563-9840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

2923 Franklin Rd SW
Roanoke, VA 24014-1001

Mailing address

PO Box 12746
Roanoke, VA 24028-2746
Phone (540) 563-9840

Other names 1

  • Center for Advance Imaging Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

213 S Jefferson St
Ste 807
Roanoke, VA 24011
Phone (540) 224-5137

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1063467082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12746",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240282746",
            "telephone_number": "540-563-9840",
            "fax_number": "540-581-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141001",
            "telephone_number": "540-563-9840",
            "fax_number": "540-851-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODDYSSEY IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "IMAM",
        "authorized_official_first_name": "NAIYER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-563-9840",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Advance Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.