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INDEPENDENCE PARK IMAGING
NPI 1922208719
Radiology - Diagnostic Radiology in Richmond, VA

Active since July 20, 2007CLIA 49D1055246 · Waiver
9930 INDEPENDENCE PARK DR., STE 100, RICHMOND, VA 23233(804) 217-9729(804) 217-9584 Get Directions Write a Review

NPPES record last updated: July 20, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Independence Park Imaging NPPES

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

INDEPENDENCE PARK IMAGING (NPI 1922208719) is a healthcare organization registered as a diagnostic radiology in Richmond, Virginia and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Lavelle R Hardin, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1922208719
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSHORT PUMP IMAGING LLC
Location Address9930 INDEPENDENCE PARK DR., STE 100Richmond, VA 23233
Mailing Address9930 Independence Park Dr., Ste 100Richmond, VA 23233 · (804) 217-9729 · Fax (804) 217-9584
Phone(804) 217-9729
Fax(804) 217-9584
Organization SubpartNo
Authorized OfficialLavelle R HardinCredentialing Coordinator · (615) 344-8203
Enumeration DateJuly 20, 2007
✔ NPI 1922208719 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.
9930 INDEPENDENCE PARK DR., Richmond, VA 23233
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Other Names 1

Doing Business AsIndependence Park Imaging

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 49D1055246

Independence Park Imaging · Richmond, VA
Active · expires Feb 4, 2028
CLIA Number49D1055246
Laboratory TypeIndependent
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorChristopher R. Greene
Laboratory Phone(804) 217-9729
Laboratory LocationIndependence Park Imaging4200 Greybull Dr, Suite 100, Richmond, VA 23233
CLIA data matches this NPI record on: Name Phone
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 Short Pump Imaging LLC's NPI number?

The NPI number for Short Pump Imaging LLC is 1922208719. It was assigned to this organization in the NPPES registry on July 20, 2007. The provider is doing business as Independence Park Imaging.

Where is Short Pump Imaging LLC located?

Short Pump Imaging LLC is located at 9930 Independence Park Dr. Ste 100, Richmond, VA 23233. The listed phone number is (804) 217-9729.

What is Short Pump Imaging LLC's specialty?

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

Does Short Pump Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1055246) is associated with this NPI, valid through February 4, 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 Short Pump Imaging LLC was last updated on July 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.