SENTARA MEDICAL GROUP NPI 1982642781

NPI Information

NPI: 1982642781
Provider Name: SENTARA MEDICAL GROUP

Doing Business As: FORT NORFOLK DIAGNOSTIC CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
301 RIVERVIEW AVE
SUITE 830
NORFOLK, VA
ZIP 23510
Phone: (757) 252-9100
Get Directions

SENTARA MEDICAL GROUP is a diagnostic radiology radiology in Norfolk, VA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SENTARA MEDICAL GROUP NPI is 1982642781. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Norfolk Diagnostic Center.

The provider's business location address is:

301 RIVERVIEW AVE
SUITE 830
NORFOLK, VA
ZIP 23510-065
Phone: (757) 252-9100
Fax: (757) 510-9297

The provider's authorized official is Cindy A Taylor .
The authorized official title is Manager and has the following contact phone number (757) 252-3344.

The CLIA number assigned to this NPI record is 49D1093075 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 11/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory				No
2	2085R0202X	Radiology	Diagnostic Radiology	49D0229789	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FVVXU2	MEDICARE PIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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