SENTARA MEDICAL GROUP NPI 1053350322

NPI Information

NPI: 1053350322
Provider Name: SENTARA MEDICAL GROUP

Doing Business As: FIRST COLONIAL DIAGNOSTIC CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1080 FIRST COLONIAL RD
SUITE 100
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 395-6464
Get Directions

SENTARA MEDICAL GROUP is a diagnostic radiology radiology in Virginia Beach, 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 1053350322. The provider is registered as an organization entity type.
The provider Is Doing Business As First Colonial Diagnostic Center.

The provider's business location address is:

1080 FIRST COLONIAL RD
SUITE 100
VIRGINIA BEACH, VA
ZIP 23454-406
Phone: (757) 395-6464
Fax: (757) 395-6490

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 enumeration date for this NPI number is 6/5/2006 and was last updated on 9/23/2011.

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		49D0981411	VIRGINIA	No
2	2085R0202X	Radiology	Diagnostic Radiology			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	P00393284	OTHER	VIRGINIA	RR MEDICARE PIN
2	FVVXU1	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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