LEWISGALE DALEVILLE IMAGING
NPI 1700234580
Clinic/Center - Magnetic Resonance Imaging (MRI) in Daleville, VA
- Organization
- Clinic/Center
- Magnetic Resonance Imaging (MRI)
- CLIA Number: 49D2109373
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-23-2026
About LEWISGALE DALEVILLE IMAGING
This page provides the complete NPI Profile along with additional information for Lewisgale Daleville Imaging, a provider established in Daleville, Virginia operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1700234580 assigned on June 2016. The practitioner's primary taxonomy code is 261QM1200X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Lewisgale Daleville Imaging. The authorized official of this NPI record is Angela Reynolds (Cfo)
- NPI
- 1700234580 Verify this NPI
- Provider Legal Name
- LEWISGALE MEDICAL CENTER, LLC
- Other Organization Name
- LEWISGALE DALEVILLE IMAGING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 65 SHENANDOAH AVE SUITE 103 DALEVILLE, VA 24083
- Location Phone
- (540) 966-6620
- Location Fax
- (540) 966-6659
- Mailing Address
- 65 SHENANDOAH AVE SUITE 103 DALEVILLE, VA 24083
- Mailing Phone
- (540) 966-6620
- Mailing Fax
- (540) 966-6659
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-02-2016
- Last Update Date
- 06-02-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Magnetic Resonance Imaging (MRI)
- Taxonomy Code
- 261QM1200X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2109373
- Facility Type
- Physician Office
- Certificate Effective Date
- February 24, 2024
- Certificate Expiration Date
- February 23, 2026
- Laboratory Director
- BASSEL J. MOUGHRABI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lewisgale Daleville Imaging to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700234580, enumerated as an "organization" on June 02, 2016.
The provider is located at 65 SHENANDOAH AVE SUITE 103 DALEVILLE, VA 24083 and the phone number is (540) 966-6620.
Clinic/Center with taxonomy code 261QM1200X and a focus in Magnetic Resonance Imaging (MRI).
