Uva Outpatient Imaging Centreville LLC
NPI 1972455624ActiveOrganization· Physiological Laboratory· Gainesville, VA
Physiological Laboratory in Gainesville, Virginia, registered in NPPES in February 2026, part of Uva Outpatient Imaging Centreville LLC. The authorized official on file is Charles Coder, Cfo. Enrolled in Medicare as part b supplier - independent diagnostic testing facility (idtf).
Overview
| NPI | 1972455624 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Uva Outpatient Imaging Centreville LLC |
| NPI issued | Feb 13, 2026 |
| Last updated in NPPES | Oct 26, 2026 |
| Certified by provider | Oct 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Clinic/Center, Radiology | 261QR0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (VA) |
|---|