Organization
DWAYNE R COOK HERITAGE MOBILE X-RAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE ROBERT COOK I RT (OWNER)
(757) 580-6040
Entity
Organization
Contact information
Practice address
6330 N CENTER DR, SUITE 107, NORFOLK, VA 23502-4008
(757) 466-1163
(757) 466-1178
Mailing address
PO BOX 2145, CHESAPEAKE, VA 23327-2145
(757) 466-1163
(757) 466-1178
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
0120 002367
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008946752
—
VA
Enumeration date
04/17/2008
Last updated
05/31/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us