NPIMap

Organization Active NPI

Crewe Outpatient Imaging LLC

Doing business as Crewe Imaging Center

  • Diagnostic Radiology Physician
  • Crewe, VA
National Provider Identifier
1134427057
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CREWE OUTPATIENT IMAGING LLC
Doing business as
Crewe Imaging Center
Practice address
12522 W Colonial Trail Hwy
Suite 1
Crewe, VA 23930-3329
Phone
(434) 538-0028
Fax
(434) 538-0028
NPI assigned
Mar 1, 2011
Last updated
Mar 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Mr. Lavelle R Hardin
Title
Managed Care Analyst
Phone
(615) 372-5441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

12522 W Colonial Trail Hwy
Suite 1
Crewe, VA 23930-3329

Mailing address

12522 W Colonial Trail Hwy
Suite 1
Crewe, VA 23930-3329
Phone (434) 538-0028

Other names 1

  • Crewe Imaging Center 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

12522 W Colonial Trail Hwy
Ste 1
Crewe, VA 23930
Phone (434) 538-0028

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1134427057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12522 W COLONIAL TRAIL HWY",
            "address_2": "SUITE 1",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "239303329",
            "telephone_number": "434-538-0028",
            "fax_number": "434-538-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12522 W COLONIAL TRAIL HWY",
            "address_2": "SUITE 1",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "239303329",
            "telephone_number": "434-538-0028",
            "fax_number": "434-538-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREWE OUTPATIENT IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LAVELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGED CARE ANALYST",
        "authorized_official_telephone_number": "615-372-5441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crewe Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crewe, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.