Active NPI
Imaging International PC
- Diagnostic Radiology Physician
- Abingdon, VA
National Provider Identifier
1871774703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101023208
- Legal business name
- IMAGING INTERNATIONAL PC
- Practice address
- 315 Falls Dr NW
Abingdon, VA 24210-8093 - Phone
- (276) 623-8100
- NPI assigned
- Nov 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernest L Coburn Jr., MD
- Title
- President
- Phone
- (276) 739-7989
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101023208 | VA | Primary |
Addresses
Primary practice location
315 Falls Dr NW
Abingdon, VA 24210-8093
Mailing address
PO Box 208
Abingdon, VA 24212-0208
Phone (276) 623-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245419 | Other | VA | ANTHEM |
National Provider Directory
National Provider Directory- Tax ID family
- Imaging International
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Abingdon, VA
- NPI 1558482562
Locations
315 Falls Dr NW
Abingdon, VA 24210
Phone (276) 623-8100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Abingdon, VA
- NPI 1164423745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204848000000",
"number": "1871774703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242120208",
"telephone_number": "276-623-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 FALLS DR NW",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242108093",
"telephone_number": "276-623-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGING INTERNATIONAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-20",
"last_updated": "2008-03-07",
"status": "A",
"authorized_official_last_name": "COBURN",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "276-739-7989",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101023208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "245419",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.