Organization
PREMIER DIAGNOSTICS OF VIRGINIA
Active
Organization
PREMIER DIAGNOSTICS OF VIRGINIA
Active
Other names
Premier Cpap
Organization subpart
No
Provider details
NPI number
Authorized official
MARVET L POWELL RRT, RPSGT (DIRECTOR)
(804) 378-3713
Entity
Organization
Contact information
Practice address
430 SOUTHLAKE BLVD STE B11, NORTH CHESTERFIELD, VA 23236-3065
(804) 378-6009
(804) 378-6187
Mailing address
430 SOUTHLAKE BLVD STE B11, NORTH CHESTERFIELD, VA 23236-3065
(804) 378-3713
(804) 594-2673
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206010011
VA
Other
Enumeration date
12/19/2012
Last updated
09/27/2023
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