Active NPI
Oddyssey IV, LLC
Doing business as Center for Advance Imaging
- Diagnostic Radiology Physician
- Roanoke, VA
National Provider Identifier
1063467082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Carilion Emergency Physicians
- Emergency Medicine Physician
- Roanoke, VA
- NPI 1649423815
Member Of
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.