NPI | 1841657533 |
---|---|
Doing Business As | GROVE AVENUE IMAGING CENTER |
Entity Type | Organization |
Authorized Contact | STEPHAN QUIRICONI CFO 804-281-8301 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: VA H1833) |
Enumeration Date | 2016-01-26 |
Last Update Date | 2019-07-03 |