Dwayne R Cook Heritage Mobile X-Ray in Chesapeake - Portable X-ray And/or Other Portable Diagnostic Imaging Supplier

Dwayne R Cook Heritage Mobile X-Ray - NPI 1588838817

Dwayne R Cook Heritage Mobile X-Ray is a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier in Chesapeake, Virginia. Dwayne R Cook Heritage Mobile X-Ray practices all healthcare services and medical treatments related to Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The NPI Number for Dwayne R Cook Heritage Mobile X-Ray is 1588838817. The last update date is 2011-05-31.

Dwayne R Cook Heritage Mobile X-Ray's current location address is Po Box 2145, Chesapeake, Virginia. You can contact this provider via phone number 7574661163 and fax number 7574661178. The mailing address for Dwayne R Cook Heritage Mobile X-Ray is Po Box 2145, Chesapeake, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dwayne R Cook Heritage Mobile X-Ray
Address Po Box 2145, Chesapeake, Virginia
Phone Number 7574661163
Fax Number 7574661178
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Cook Robert Dwayne
Credentials RT
Telephone Number 7575806040

NPI Number Detail

NPI Number 1588838817
Provider Enumeration Date 2008-04-17
Last Updated Date 2011-05-31

Provider Mailing Address Detail

Address Po Box 2145
City Chesapeake
State Virginia (VA)
Post Code 233272145
Phone Number 7574661163
Fax Number 7574661178

Provider's Primary Taxonomy Detail

Speciality Portable X-ray And/or Other Portable Diagnostic Imaging Supplier
Taxonomy 335V00000X
Licence No 0120 002367
Definition:
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all st

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8946752 VA --

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FAQs about Dwayne R Cook Heritage Mobile X-Ray

What is the unique provider identifier assigned to Dwayne R Cook Heritage Mobile X-Ray?

The Dwayne R Cook Heritage Mobile X-Ray has been issued the NPI (National Provider Identifier) 1588838817 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Dwayne R Cook Heritage Mobile X-Ray is located?

The Dwayne R Cook Heritage Mobile X-Ray is situated at the following address: Po Box 2145, Chesapeake, VA, 233272145.

What is the Dwayne R Cook Heritage Mobile X-Ray's specialty and taxonomy code?

The Dwayne R Cook Heritage Mobile X-Ray's specialty is Portable X-ray And/or Other Portable Diagnostic Imaging Supplier, and the corresponding taxonomy code is 335V00000X.

On what date did Dwayne R Cook Heritage Mobile X-Ray receive its 1588838817 assignment from the Centers for Medicare & Medicaid Services?

The Dwayne R Cook Heritage Mobile X-Ray was assigned its 1588838817 on 2008-04-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Dwayne R Cook Heritage Mobile X-Ray's details last updated?

The information pertaining to the Dwayne R Cook Heritage Mobile X-Ray, including its address, specialty, and other details, was most recently updated on 2011-05-31.

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