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LEWIS GALE IMAGING AT BRAMBLETON
NPI 1073750816
Radiology - Diagnostic Radiology in Roanoke, VA

Active since January 15, 2009CLIA 49D1097841 · Waiver
4330 BRAMBLETON AVE, ROANOKE, VA 24018(540) 688-6763(540) 283-3701 Get Directions Write a Review

NPPES record last updated: June 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lewis Gale Imaging At Brambleton NPPES

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

LEWIS GALE IMAGING AT BRAMBLETON (NPI 1073750816) is a healthcare organization registered as a diagnostic radiology in Roanoke, Virginia and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Lavelle R Hardin, Analyst, as its authorized official.

NPPES Registry Identity

NPI1073750816
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameROANOKE IMAGING LLC
Location Address4330 BRAMBLETON AVERoanoke, VA 24018-3405
Mailing Address4330 Brambleton AveRoanoke, VA 24018-3405 · (540) 688-6763 · Fax (540) 283-3701
Phone(540) 688-6763
Fax(540) 283-3701
Organization SubpartNo
Authorized OfficialLavelle R HardinAnalyst · (615) 344-8203
Enumeration DateJanuary 15, 2009
Last NPPES UpdateJune 9, 2009
✔ NPI 1073750816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4330 BRAMBLETON AVE, Roanoke, VA 24018
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Other Names 1

Doing Business AsLewis Gale Imaging At Brambleton

Other Identifiers 3

Medicare PINGC1203VA
Other1073750816VA · Bcbs
Medicaid1073750816VA

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 49D1097841

Lewis Gale Imaging At Brambleton · Roanoke, VA
Active · expires Apr 2, 2027
CLIA Number49D1097841
Laboratory TypeOther
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorCarla Wiley
Laboratory Phone(540) 283-3700
Laboratory LocationLewis Gale Imaging At Brambleton4330 Brambleton Avenue, Roanoke, VA 24018
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Roanoke Imaging LLC's NPI number?

The NPI number for Roanoke Imaging LLC is 1073750816. It was assigned to this organization in the NPPES registry on January 15, 2009. The provider is doing business as Lewis Gale Imaging At Brambleton.

Where is Roanoke Imaging LLC located?

Roanoke Imaging LLC is located at 4330 Brambleton Ave, Roanoke, VA 24018. The listed phone number is (540) 688-6763.

What is Roanoke Imaging LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Roanoke Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1097841) is associated with this NPI, valid through April 2, 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 Roanoke Imaging LLC was last updated on June 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.