NPIMap

Organization Active NPI

Bon Secours - Richmond Community Hospital, Incorporated

Doing business as Bon Secours Laburnum Diagnostic Center

  • Radiology Clinic/Center
  • Richmond, VA
National Provider Identifier
1255586277
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
H1832 Issued in VA
Legal business name
BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED
Doing business as
Bon Secours Laburnum Diagnostic Center
Practice address
4630 S. Laburnum Ave.
Suite C
Richmond, VA 23231
Phone
(804) 226-4637
Fax
(804) 222-7551
NPI assigned
Nov 18, 2008
Last updated
Aug 10, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Authorized official

Name
George Odell Butler
Title
Director of Corp Responsibility
Phone
(804) 281-0271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X H1832 VA Primary

Addresses

Primary practice location

4630 S. Laburnum Ave.
Suite C
Richmond, VA 23231

Mailing address

4630 S Laburnum Ave
Suite C
Richmond, VA 23231-2424
Phone (804) 226-4637

Other names 1

  • Bon Secours Laburnum Diagnostic Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bon Secours-Richmond Community Hospital LLC7 organizations share this tax ID, including this one
Part of
Bon Secours-Richmond Community Hospital LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4630 S Laburnum Ave
Ste C
Richmond, VA 23231
Phone (804) 226-2444

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1255586277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 S LABURNUM AVE",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232312424",
            "telephone_number": "804-226-4637",
            "fax_number": "804-222-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 S. LABURNUM AVE.",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23231",
            "telephone_number": "804-226-4637",
            "fax_number": "804-222-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED",
        "enumeration_date": "2008-11-18",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ODELL",
        "authorized_official_title_or_position": "DIRECTOR OF CORP RESPONSIBILITY",
        "authorized_official_telephone_number": "804-281-0271"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "VA",
            "license": "H1832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Laburnum Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Laburnum Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.