BROAD 64 IMAGING LLC (NPI# 1316015985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316015985 |
| Entity Type | Organization |
| Organization Name | BROAD 64 IMAGING LLC |
| Practice Address |
6605 W Broad St Suite B - Ground Floor Richmond VA 23230 |
| Mailing Address |
Po Box 631146 Cincinnati OH 45263-1146 |
| Practice Telephone | 8042810215 |
| Mailing Telephone | 5139525002 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | KIMBERLY RALSTON (SYSTEM DIRECTOR) |
| Authorized Official Telephone | 4199965119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
6605 W BROAD ST SUITE B - GROUND FLOOR |
| City | RICHMOND |
| State | VA |
| Zip Code | 23230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073473 | Elke K Friedman | Internal Medicine | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2005-06-17 |
| 1679103857 | Jessica Rudloff | 6605 W Broad St, Richmond, VA 23230-1714 | 2020-01-16 | |
| 1457997652 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | General Acute Care Hospital | 6605 W Broad St, Richmond, VA 23230-1714 | 2019-11-22 |
| 1518511922 | Jessie O Turner | Nurse Practitioner | 6605 W Broad St, Richmond, VA 23230-1714 | 2019-07-25 |
| 1548743768 | Hem-onc Staffing Solutions, LLC | Internal Medicine | 6605 W Broad St, Richmond, VA 23230-1714 | 2018-09-13 |
| 1831467042 | Ann C Schoeneweis | Registered Nurse | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2011-12-02 |
| 1477868867 | Catherine B Anderson | Nurse Practitioner | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2010-08-10 |
| 1184847055 | Joshua J Mcfarlane | Internal Medicine | 6605 W Broad St, Credentialing Suite A, Richmond, VA 23230-1714 | 2007-04-10 |
| 1922123249 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2007-03-20 |
| 1710017108 | Virginia Cancer Insitute West End | Pharmacy | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265935712 | Anne Ganje | Dietitian, Registered | 6627 West Broad Street, Suite 400, Richmond, VA 23230 | 2018-03-12 |
| 1225537285 | Paul Dearman | Counselor | 4906 Cutshaw Ave Suite 105, Richmond, VA 23230 | 2018-02-06 |
| 1235647041 | Renewal Counseling & Consulting, LLC | Social Worker | 4914 Fitzhugh Ave Ste 101, Richmond, VA 23230 | 2018-01-15 |
| 1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
| 1104377530 | 1st Advanced Pediatric &adult Healthcare Services LLC | Home Health | 1518 Williow Lawn Dr., Richmond, VA 23230 | 2016-10-20 |
| 1952769770 | Geriatric Health Solutions LLC | Internal Medicine | 5602 Markel Road, Suite 102, Richmond, VA 23230 | 2016-02-08 |
| 1497148480 | We Help Our Adolescents | Community/Behavioral Health | 6010 West Broad St., Suite 103, Richmond, VA 23230 | 2015-03-14 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| Find all providers in zip 23230 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346898897 | Viva Richmond LLC | Clinic/Center | 6600 W Broad St Ste 200b, Richmond, VA 23230-1709 | 2019-08-28 |
| 1710476668 | Reid Physician Associates, Inc. | Clinic/Center | 1350 Chester Blvd Ste E, Richmond, IN 47374-1959 | 2018-05-07 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1447538558 | Medarva Imaging | Clinic/Center | 1630 Wilkes Ridge Pkwy Ste 100, Richmond, VA 23233-7460 | 2011-07-25 |
| 1447555115 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 7110 Forest Ave Ste 100, Richmond, VA 23226-3762 | 2011-01-11 |
| 1356646004 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 11525 Midlothian Tpke Ste 103, Richmond, VA 23235-4763 | 2011-01-11 |
| 1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
| 1215047964 | Ri, Lp | Clinic/Center | 8013 Midlothian Tpke, Richmond, VA 23235-5278 | 2006-08-30 |
| 1841657533 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 2201 Grove Ave, Richmond, VA 23220-4438 | 2016-01-26 |
| 1104179308 | Saint Joseph Health System, Inc | Clinic/Center | 103 Alycia Dr, Richmond, KY 40475-2368 | 2012-10-25 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.