NPIMap

Organization Active NPI

Centra Health, Inc.

Doing business as Timberlake Mammography Center

  • Diagnostic Radiology Physician
  • Lynchburg, VA
National Provider Identifier
1306911664
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CENTRA HEALTH, INC.
Doing business as
Timberlake Mammography Center
Practice address
20293 Timberlake Rd
Lynchburg, VA 24502-7202
Phone
(434) 200-7890
NPI assigned
Nov 22, 2006
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRA HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Lewis Addison
Title
Administrator
Phone
(434) 947-3777

Specialties & licenses 1

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

Addresses

Primary practice location

20293 Timberlake Rd
Lynchburg, VA 24502-7202

Mailing address

1204 Fenwick Dr
Lynchburg, VA 24502-2112

Other names 1

  • Timberlake Mammography Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centra Lab37 organizations share this tax ID, including this one
Part of
Centra Lab

Other organizations with this tax ID 36

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

View all 36

Locations

20255 Timberlake Rd
Lynchburg, VA 24502
Phone (804) 947-3000

20293 Timberlake Rd
Lynchburg, VA 24502
Phone (434) 200-7890

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1306911664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 FENWICK DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20293 TIMBERLAKE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027202",
            "telephone_number": "434-200-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRA HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRA HEALTH, INC.",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "434-947-3777"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberlake Mammography Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.