TRICITY IMAGING & DIAGNOSTICS NPI 1619110475

NPI Information

  • NPI: 1619110475
  • Provider Name: TRICITY IMAGING & DIAGNOSTICS
  • Classification: Pathology - 247ZC0005X
  • Specialization: Clinical Laboratory Director, Non-physician
  • Entity Type: Organization
  • Address: 603 S SYCAMORE ST
    PETERSBURG, VA
    ZIP 23803
  • Phone: (804) 901-1087

Map and Directions

Get Directions

NPI Details

TRICITY IMAGING & DIAGNOSTICS is a clinical laboratory director and non-physician pathology in Petersburg, VA. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. TRICITY IMAGING & DIAGNOSTICS NPI is 1619110475. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

603 S SYCAMORE ST
PETERSBURG, VA
ZIP 23803-814
Phone: (804) 901-1087
Fax: (540) 854-5800

The provider's authorized official is Tehsin Anjum .
The authorized official title is Owner and has the following contact phone number (804) 901-1087.

The enumeration date for this NPI number is 4/9/2009 and was last updated on 4/9/2009.

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
1247ZC0005XPathologyClinical Laboratory Director, Non-physicianS287380VIRGINIAYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.