Organization
LIFE DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DREW LAWRENCE DIGERONIMO BBA,RDCS (PRESIDENT)
(757) 963-6295
Entity
Organization
Contact information
Practice address
1020 INDEPENDENCE BLVD, SUITE 102, VIRGINIA BEACH, VA 23455-5500
(757) 963-6295
Mailing address
1011 COPPER STONE CIR, CHESAPEAKE, VA 23320-8274
(757) 617-3398
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2007
Last updated
02/12/2008
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