LEWIS GALE IMAGING AT BRAMBLETON
NPI 1073750816
Radiology - Diagnostic Radiology in Roanoke, VA
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
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lewis Gale Imaging At Brambleton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Lewis Gale Imaging At Brambleton, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 33Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, VAFrequently 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.
Is Roanoke Imaging LLC enrolled in Medicare?
Yes. Roanoke Imaging LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roanoke Imaging LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 2 Medicare specialties reassign their Medicare billing to Roanoke Imaging LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (32) and Interventional Radiology (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Lewis Gale Imaging At Brambleton · NPI 1073750816
Diagnostic Radiology organization in Roanoke, Virginia. Organization record, active in the CMS NPPES registry since January 15, 2009.
## Identity
- **NPI:** 1073750816 (Entity type: Organization)
- **Enumerated:** January 15, 2009
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Legal business name:** Roanoke Imaging Llc
- **Organization subpart:** No
- **Authorized official:** Lavelle Hardin, ANALYST
## Practice location
- **Address:** 4330 BRAMBLETON AVE, Roanoke, VA 24018-3405
- **Phone:** (540) 688-6763 · **Fax:** (540) 283-3701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 33 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (32), Interventional Radiology (1); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1073750816/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2009
- **Other identifiers:** Medicare PIN GC1203 (VA); Other 1073750816 (VA); Medicaid 1073750816 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073750816) · Data from the CMS NPPES public registry.