Organization
CHESAPEAKE DIAGNOSTIC IMAGING CENTERS, LLC
Active
Other names
Chesapeake Regional Imaging Center of Kingsborough
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY MASON (BILLING MANAGER)
(757) 965-4151
Entity
Organization
Contact information
Practice address
676 KINGSBOROUGH SQ, SUITE A, CHESAPEAKE, VA 23320-4954
(757) 547-4155
(757) 547-7631
Mailing address
1554 RIVER BIRCH RUN N, CHESAPEAKE, VA 23320-7500
(757) 965-4151
(757) 965-4168
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922056241
—
VA
Enumeration date
05/05/2006
Last updated
03/04/2025
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