Galax Radiology Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

GALAX RADIOLOGY INC

Practice address

110 Valley St
Galax, VA 24333-2224

Phone

(703) 236-8175

NPI assigned

Feb 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John W Bolen Jr., MD

Title

President

Phone

(276) 236-8175

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1396717096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VALLEY ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VALLEY ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332224",
            "telephone_number": "703-236-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAX RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "BOLEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-236-8175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920855",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C15351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mara Michelle Fuller, LCSW
• Kecia Lea Furrow, HIS
• William Marshall Furrow, OPTICIAN
• Galax City Public Schools
• Galax Grayson Emergency Medical Services
• Galax Rehabilitation Services, Inc.
• Galax Treatment Center, Inc
• Galax Treatment Center, LLC
• Landon Wellford Garland Jr., MD
• Janet Hart Garvey, FNP-C

• Diagnostic Radiology Physician in Galax, VA
• Providers in Galax, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.