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Dwayne R Cook Heritage Mobile X-ray
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Norfolk, Virginia
NPI 1588838817

Dwayne R Cook Heritage Mobile X-ray is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Chesapeake, VA. Dwayne R Cook Heritage Mobile X-ray practices in Norfolk, VA. The NPI Number for Dwayne R Cook Heritage Mobile X-ray is 1588838817 and holds a License No. 0120 002367 (Virginia).

The current practice location address for Dwayne R Cook Heritage Mobile X-ray is 6330 N Center Dr, Norfolk, VA and can be reached out via phone at 757-466-1163 and via fax at 757-466-1178.

Location: 6330 N Center Dr, Norfolk, VA, 23327-2145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588838817
Provider Name
Dwayne R Cook Heritage Mobile X-ray
Credential
Provider Entity Type
Organization
Address
6330 N Center Dr, Norfolk, VA, 23327-2145
Phone Number
757-466-1163
Fax Number
757-466-1178
Provider Enumeration Date
04/17/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
008946752 05 VA
institution
Provider Business Practice Location Address Details
Address
6330 N Center Dr
City
Norfolk
State
Virginia
Zip
23502-4008
Phone Number
757-466-1163
Fax Number
757-466-1178
person
Provider Business Mailing Address Details
Address
6330 N Center Dr
City
Norfolk
State
Virginia
Zip
23502-4008
Phone Number
757-466-1163
Fax Number
757-466-1178
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
0120 002367 (Virginia)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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