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APPOMATTOX IMAGING LLC
NPI 1073713855
Clinic/Center - Radiology in Colonial Heights, VA

Active since July 20, 2007CLIA 49D1076276 · Waiver
930 SOUTH AVE, SUITE 101, COLONIAL HEIGHTS, VA 23834(804) 524-2340(804) 524-2340 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Appomattox Imaging Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APPOMATTOX IMAGING LLC (NPI 1073713855) is a healthcare organization registered as a radiology in Colonial Heights, Virginia and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through December 20, 2027 and lists William Lunn, Vice President, as its authorized official.

NPPES Registry Identity

NPI1073713855
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameAPPOMATTOX IMAGING LLC
Location Address930 SOUTH AVE, SUITE 101Colonial Heights, VA 23834-3621
Mailing Address930 South Ave Ste 1Colonial Heights, VA 23834-3620 · (804) 524-2340 · Fax (804) 524-2340
Phone(804) 524-2340
Fax(804) 524-2340
Organization SubpartNo
Authorized OfficialWilliam LunnVice President · (804) 267-2958
Enumeration DateJuly 20, 2007
Last NPPES UpdateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
✔ NPI 1073713855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
930 SOUTH AVE, Colonial Heights, VA 23834
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Other Identifiers 1

Medicaid1073713855VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1076276

Appomattox Imaging Center · Colonial Heights, VA
Active · expires Dec 20, 2027
CLIA Number49D1076276
Laboratory TypeOther
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorDonald B. Bodenhamer
Laboratory Phone(804) 524-2340
Laboratory LocationAppomattox Imaging Center930 South Avenue - Suite 1, Colonial Heights, VA 23834
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN A CLAY M.D.
Family Medicine
930 SOUTH AVE
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 504-8025
DR. BARTON P SMITH M.D.
Surgery
930 SOUTH AVE, SUITE 4 A
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 524-2294
DR. RAYMOND THOMAS ROSS M.D.
Surgery
930 SOUTH AVE, SUITE 4A
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 524-2294
TRI CITY SURGICAL ASSOCIATES
Specialist
930 SOUTH AVE, SUITE 4 A
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 524-2294
APPOMATTOX IMAGING LLC
Clinic/Center (Radiology)
930 SOUTH AVE, SUITE 101
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 524-2340
COLUMBIA/HCA JOHN RANDOLPH, INC.
Clinic/Center (Ambulatory Surgical)
930 SOUTH AVE, SUITE 2
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 520-8272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Appomattox Imaging LLC's NPI number?

The NPI number for Appomattox Imaging LLC is 1073713855. It was assigned to this organization in the NPPES registry on July 20, 2007.

Where is Appomattox Imaging LLC located?

Appomattox Imaging LLC is located at 930 South Ave Suite 101, Colonial Heights, VA 23834. The listed phone number is (804) 524-2340.

What is Appomattox Imaging LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Does Appomattox Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1076276) is associated with this NPI, valid through December 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Appomattox Imaging LLC was last updated on January 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.