Virginia X-Ray Program

Invoice
Business Info
Payment
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Credit Card & Billing Information

Card Information

Credit Card Number Expiration Date (MMYY) Card Security Code

Name on Card

First Name Last Name

Billing Address

Street Address Address 2

City

State, Country, Zip

State

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Zip

Telephone (numbers only)

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Questions

Is my transaction secure?

Yes. We use the latest and highest levels of encryption to secure your transaction during each stage of the process. This service is hosted in a secure facility and audited annually for full PCI Compliance.

Who should I contact about payment errors or my invoice?

Please contact the Office of Radiological Health at 804-864-8150.