Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

UVA OUTPATIENT IMAGING CENTREVILLE LLC
NPI 1255399507
Radiology - Diagnostic Radiology in Centreville, VA

Active since May 03, 2006
6208 MULTIPLEX DRIVE, SUITE 100, CENTREVILLE, VA 20121(703) 825-2244(703) 830-3610 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Dec 30, 2022, Jan 10, 2022 and 2 more (5 updates tracked since 2016).

About Uva Outpatient Imaging Centreville Llc NPPES

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

UVA OUTPATIENT IMAGING CENTREVILLE LLC (NPI 1255399507), doing business as Uva Health Outpatient Imaging Centreville, is a healthcare organization registered as a diagnostic radiology in Centreville, Virginia and active in the NPI registry since May 2006. The organization lists Charles D Coder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255399507
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameUVA OUTPATIENT IMAGING CENTREVILLE LLC
Location Address6208 MULTIPLEX DRIVE, SUITE 100Centreville, VA 20121-5324
Mailing AddressPo Box 403059Atlanta, GA 30384-3059 · Fax (336) 774-1751
Fax(703) 830-3610
Organization SubpartNo
Authorized OfficialCharles D CoderCfo · (804) 835-2069
Enumeration DateMay 3, 2006
Last NPPES UpdateOctober 13, 20265 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1255399507 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.
6208 MULTIPLEX DRIVE, Centreville, VA 20121

Other Names 2

Doing Business AsUva Health Outpatient Imaging Centreville
Doing Business AsUva Outpatient Imaging Centreville

Other Identifiers 5

Other185293VA · Bc
OtherJ428Carefirst
OtherP00450165Medicare Railroad
Medicaid010062381VA
Other7217512Aetna

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Uva Outpatient Imaging Centreville Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateDistrict of ColumbiaEnrollment IDO20071221000225Non-DME Part B · Independent Diagnostic Testing Facility (IDTF)Due dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 49D2110745

Uva Outpatient Imaging Centreville · Centreville, VA
Expired · Oct 2, 2026
CLIA Number49D2110745
Laboratory TypeIndependent
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorVic A. David
Laboratory Phone(703) 825-2244
Laboratory LocationUva Outpatient Imaging Centreville6208 Multiplex Drive,suite 100, Centreville, VA 20121
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
4,150 services49 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,500 services25 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
141 services139 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
134 services122 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
94 services87 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
54 services53 patients

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 Uva Outpatient Imaging Centreville LLC's NPI number?

The NPI number for Uva Outpatient Imaging Centreville LLC is 1255399507. It was assigned to this organization in the NPPES registry on May 3, 2006. The provider is doing business as UVA Health Outpatient Imaging Centreville and UVA Outpatient Imaging Centreville.

Where is Uva Outpatient Imaging Centreville LLC located?

Uva Outpatient Imaging Centreville LLC is located at 6208 Multiplex Drive Suite 100, Centreville, VA 20121. The listed phone number is (703) 825-2244.

What is Uva Outpatient Imaging Centreville LLC's specialty?

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

Is Uva Outpatient Imaging Centreville LLC enrolled in Medicare?

Yes. Uva Outpatient Imaging Centreville LLC is registered in the Medicare PECOS enrollment system.

When is Uva Outpatient Imaging Centreville LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Independent Diagnostic Testing Facility (IDTF)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Uva Outpatient Imaging Centreville LLC accept?

Health plans from Oscar Health list Uva Outpatient Imaging Centreville LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Uva Outpatient Imaging Centreville LLC was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.