NPIMap

Organization Active NPI

Lewisgale Medical Center, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Daleville, VA
National Provider Identifier
1700234580
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
LEWISGALE MEDICAL CENTER, LLC
Practice address
65 Shenandoah Ave
Suite 103
Daleville, VA 24083-3252
Phone
(540) 966-6620
Fax
(540) 966-6659
NPI assigned
Jun 2, 2016
Organization subpart
Yes
Parent organization
LEWISGALE MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Angela Reynolds
Title
Cfo
Phone
(540) 776-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

65 Shenandoah Ave
Suite 103
Daleville, VA 24083-3252

Mailing address

65 Shenandoah Ave
Suite 103
Daleville, VA 24083-3252
Phone (540) 966-6620

Other names 1

  • LewisGale Daleville Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lewis-Gale Medical Center LLC11 organizations share this tax ID, including this one
Part of
Lewis-Gale Medical Center LLC

Other organizations with this tax ID 10

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

Locations

65 Shenandoah Ave
Ste 103
Daleville, VA 24083
Phone (540) 966-6620

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1700234580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SHENANDOAH AVE",
            "address_2": "SUITE 103",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240833252",
            "telephone_number": "540-966-6620",
            "fax_number": "540-966-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SHENANDOAH AVE",
            "address_2": "SUITE 103",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240833252",
            "telephone_number": "540-966-6620",
            "fax_number": "540-966-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISGALE MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEWISGALE MEDICAL CENTER, LLC",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "540-776-4125"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LewisGale Daleville Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daleville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.