Organization · Type 2 NPI

Bon Secours - Richmond Community Hospital, Incorporated

Radiology Clinic/Center · Richmond, VA

NPI number 1255586277 Active

Practice location

4630 S. Laburnum Ave., Suite C
Richmond, VA 23231

Call (804) 226-4637 Map

Fax (804) 222-7551

Mailing address

4630 S Laburnum Ave, Suite C
Richmond, VA 23231-2424

Specialties and licenses

Taxonomy	Code	License
Radiology Clinic/Center Primary	261QR0200X	H1832 (VA)

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NPI record

NPI: 1255586277
Entity type: Organization (Type 2)
Issued: Nov 18, 2008
Last updated: Aug 10, 2018
Status: Active
Subpart: Yes of Bon Secours - Richmond Community Hospital, Incorporated

Other names

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Bon Secours Laburnum Diagnostic Center · doing business as
Bon Secours Laburnum Diagnostic Center · doing business as

Authorized official

George Odell Butler
Director of Corp Responsibility
(804) 281-0271

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About NPI 1255586277

Bon Secours - Richmond Community Hospital, Incorporated's National Provider Identifier is 1255586277, issued on Nov 18, 2008. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Richmond, VA. The record was last updated on Aug 10, 2018.