Individual
RAYMOND ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T.(R)(CT)(MR)(ARRT
Contact information
Practice address
1325 OLEANDER AVE, CHESAPEAKE, VA 23325-3745
(757) 401-5851
Mailing address
1325 OLEANDER AVE, CHESAPEAKE, VA 23325-3745
(757) 401-5851
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
510394
VA
2471C3402X
Radiography Radiologic Technologist
Primary
510394
VA
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
510394
VA
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
510394
VA
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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