# POSITRON EMISSION TOMOGRAPHY INSTITUTE OF HAMPTON ROADS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PET Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730144288
- **Authorized official:** MR. RALEIGH HAMILTON (CEO)
- **Authorized official phone:** (757) 366-3100

## Contact information

- **Practice address:** 5357 HENNEMAN DR, NORFOLK, VA 23513-2401
- **Practice address phone:** (757) 855-9700
- **Practice address fax:** (757) 855-9755
- **Mailing address:** 5357 HENNEMAN DR, NORFOLK, VA 23513-2401
- **Mailing address phone:** (757) 855-9700
- **Mailing address fax:** (757) 855-9755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 01/12/2009