OrganizationActive
Mountain States Health Alliance
NPI 1104158054 · Diagnostic Radiology Physician · Lebanon, VA
Provider details
- NPI number
- 1104158054
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eddie Greene, Avp/Administrator(246) 883-8101
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
58 Carroll St
Lebanon, VA 24266-3600
Phone: (276) 883-8101
Fax: (276) 889-4336
Street-level locationGet directions
Mailing address
Po Box 3600
Lebanon, VA 24266-0200
Other names (DBA / former)
- Doing business as
- Rcmc Nighthawk Readings
Registry dates
- Enumerated
- 2010-02-03
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.