Provider Demographics
NPI:1316981160
Name:ULTRASOUND IMAGING OF VA, INC.
Entity type:Organization
Organization Name:ULTRASOUND IMAGING OF VA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-266-8300
Mailing Address - Street 1:7108 FERNWOOD ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-4001
Mailing Address - Country:US
Mailing Address - Phone:804-266-8300
Mailing Address - Fax:
Practice Address - Street 1:7108 FERNWOOD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-4001
Practice Address - Country:US
Practice Address - Phone:804-266-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4992342Medicaid
VA4992342Medicaid