Organization
2D DIAGNOSTIC OF VIRGINIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA ANA POPA (OPERATIONS MANAGER)
(877) 354-2455
Entity
Organization
Contact information
Practice address
1604 DENHAM RD, RICHMOND, VA 23229-3904
(877) 354-2455
(866) 328-8732
Mailing address
103 JERICHO TPKE, FLORAL PARK, NY 11001-2023
(877) 354-2455
(866) 328-8732
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101238521
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10226775
—
VA
01
—
184222
ANTHEM PPO PROVIDER NUMBE
VA
Enumeration date
05/23/2006
Last updated
08/22/2020
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