# MEDSCAN IMAGING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225117187
- **Authorized official:** PROF. BRENDA L. LONG RTR.RDMS (REGISTER DIAGNOSTIC MEDICAL SONOGRA)
- **Authorized official phone:** (757) 923-1111

## Contact information

- **Practice address:** 4037 TAYLOR RD, SUITE D, CHESAPEAKE, VA 23321-5535
- **Practice address phone:** (757) 923-1111
- **Practice address fax:** (757) 923-1111
- **Mailing address:** 4037 TAYLOR RD, SUITE D, CHESAPEAKE, VA 23321-5535
- **Mailing address phone:** (757) 923-1111
- **Mailing address fax:** (757) 923-1111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 00917 | VA | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 08/22/2020
