BROAD 64 IMAGING LLC
NPI 1316015985
Clinic/Center - Radiology in Richmond, VA

Active since December 01, 2006CLIA 49D1085550 · Waiver
6605 W BROAD ST, SUITE B - GROUND FLOOR, RICHMOND, VA 23230(804) 281-0215 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2020, Aug 30, 2019, Feb 14, 2019 and 1 more (4 updates tracked since 2018).

About Broad 64 Imaging Llc NPPES

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

BROAD 64 IMAGING LLC (NPI 1316015985) is a healthcare organization registered as a radiology in Richmond, Virginia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Kimberly Ralston, System Director, as its authorized official.

NPPES Registry Identity

NPI1316015985
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameBROAD 64 IMAGING LLC
Location Address6605 W BROAD ST, SUITE B - GROUND FLOORRichmond, VA 23230
Mailing AddressPo Box 631146Cincinnati, OH 45263-1146 · (513) 952-5002
Organization SubpartNo
Authorized OfficialKimberly RalstonSystem Director · (419) 996-5119
Enumeration DateDecember 1, 2006
Last NPPES UpdateNovember 4, 20204 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
NPI 1316015985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
6605 W BROAD ST, Richmond, VA 23230

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 49D1085550

Broad/64 Imaging, LLC Dba Bon Secours Imaging Center - Reynolds Crossing · Richmond, VA
Active · expires Mar 1, 2028
CLIA Number49D1085550
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorMark A. Williams MD
Laboratory Phone(804) 287-3500
Laboratory LocationBroad/64 Imaging, LLC Dba Bon Secours Imaging Center - Reynolds Crossing6605 West Broad Street - Suite B Ground Floor Attn Brandy Johnson, Richmond, VA 23230
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 64

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.

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.
51,940 services442 patients
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.
6,695 services93 patients
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579
This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.
4,490 services268 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
899 services825 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
864 services864 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
797 services797 patients

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Hematology & Oncology)
6605 W BROAD ST, SUITE A
RICHMOND, VA 23230
Durable Medical Equipment & Medical Supplies
6605 W BROAD ST, SUTIE G202
HENRICO, VA 23230
Pharmacist (Ambulatory Care)
6605 W BROAD ST
RICHMOND, VA 23230
General Acute Care Hospital
6605 W BROAD ST
RICHMOND, VA 23230
Nurse Practitioner (Adult Health)
6605 W BROAD ST, SUITE A
RICHMOND, VA 23230
Internal Medicine (Hematology & Oncology)
6605 W BROAD ST
RICHMOND, VA 23230
Physical Therapist (Neurology)
6605 W BROAD ST
RICHMOND, VA 23230
Dietitian, Registered (Nutrition, Oncology)
6605 W BROAD ST
RICHMOND, VA 23230

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 Broad 64 Imaging LLC's NPI number?

The NPI number for Broad 64 Imaging LLC is 1316015985. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Broad 64 Imaging LLC located?

Broad 64 Imaging LLC is located at 6605 W Broad St Suite B - Ground Floor, Richmond, VA 23230. The listed phone number is (804) 281-0215.

What is Broad 64 Imaging LLC's specialty?

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

Does Broad 64 Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1085550) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Broad 64 Imaging LLC was last updated on November 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.