| 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 |