APPOMATTOX IMAGING LLC
NPI 1790983971
Clinic/Center - Radiology in Colonial Heights, VA
NPI Status: Active since July 10, 2007
Contact Information
930 SOUTH AVE
SUITE 101
COLONIAL HEIGHTS, VA
ZIP 23834
Phone: (804) 524-2340
Fax: (804) 272-8752
- Organization
- Clinic/Center
- Radiology
- CLIA Number: 49D1076276
- CLIA Cert. Type: Other
- CLIA Exp. Date: 12-20-2025
About APPOMATTOX IMAGING LLC
This page provides the complete NPI Profile along with additional information for Appomattox Imaging Llc, a provider established in Colonial Heights, Virginia operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1790983971 assigned on July 2007. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Lavelle R Hardin (Credentialing Coordinator)
- NPI
- 1790983971
- Provider Name
- APPOMATTOX IMAGING LLC
- Entity Type
- Organization
- Location Address
- 930 SOUTH AVE SUITE 101 COLONIAL HEIGHTS, VA 23834
- Location Phone
- (804) 524-2340
- Location Fax
- (804) 272-8752
- Mailing Address
- 930 SOUTH AVE SUITE 101 COLONIAL HEIGHTS, VA 23834
- Mailing Phone
- (804) 524-2340
- Mailing Fax
- (804) 272-8752
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-10-2007
- Last Update Date
- 07-10-2007
- 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 Radiology
- Taxonomy Code
- 261QR0200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1200X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QR0206X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 49D1076276
- Facility Type
- Other
- Certificate Effective Date
- December 21, 2023
- Certificate Expiration Date
- December 20, 2025
- Laboratory Director
- DONALD B. BODENHAMER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Appomattox Imaging Llc 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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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 9 | 8 | 3 | 9 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 18 | 8 | 6 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 8 + 8 + 6 + 9 + 1 + 4 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1790983971 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982670360 | MR. CHRISTOPHER GEORGE MARSHALL M.D, M.B.A Individual | Family Medicine | 930 SOUTH AVE COLONIAL HEIGHTS, VA 23834 (804) 504-8025 |
| 1093905994 | DR. JOHN A CLAY M.D. Individual | Family Medicine | 930 SOUTH AVE COLONIAL HEIGHTS, VA 23834 (804) 504-8025 |
| 1548369796 | TRI CITY SURGICAL ASSOCIATES Organization | Specialist | 930 SOUTH AVE SUITE 4 A COLONIAL HEIGHTS, VA 23834 (804) 524-2294 |
| 1205801040 | DR. BARTON P SMITH M.D. Individual | Surgery | 930 SOUTH AVE SUITE 4 A COLONIAL HEIGHTS, VA 23834 (804) 524-2294 |
| 1477529212 | DR. RAYMOND THOMAS ROSS M.D. Individual | Surgery | 930 SOUTH AVE SUITE 4A COLONIAL HEIGHTS, VA 23834 (804) 524-2294 |
| 1932500485 | COLUMBIA/HCA JOHN RANDOLPH, INC. Organization | Clinic/Center (Ambulatory Surgical) | 930 SOUTH AVE SUITE 2 COLONIAL HEIGHTS, VA 23834 (804) 520-8272 |
| 1073713855 | APPOMATTOX IMAGING LLC Organization | Clinic/Center (Radiology) | 930 SOUTH AVE SUITE 101 COLONIAL HEIGHTS, VA 23834 (804) 524-2340 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790983971, enumerated in the NPI registry as an "organization" on July 10, 2007
The provider is located at 930 South Ave Suite 101 Colonial Heights, Va 23834 and the phone number is (804) 524-2340
This medical organization specializes in Clinic/Center with taxonomy code 261QR0200X with a focus in Radiology
The provider's CLIA number is 49D1076276 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on July 10, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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