Organization
FIRST MERIDIAN MEDICAL LLC
Active
Other names
MRI 7 CT DIAGNOSTICS, MRI & CT Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY E CARTER (MANAGER)
(757) 965-4151
Entity
Organization
Contact information
Practice address
1554 RIVER BIRCH RUN N, CHESAPEAKE, VA 23320-7500
(757) 671-1144
(757) 671-1265
Mailing address
1554 RIVER BIRCH RUN N, CHESAPEAKE, VA 23320-7500
(757) 671-1144
(757) 671-1265
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
035285-8049
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7244744
—
VA
01
—
C02878
MEDICARE
VA
01
—
DE2222
RAILROAD MEDICARE
VA
Enumeration date
11/29/2005
Last updated
03/04/2020
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