Dwayne R Cook Heritage Mobile X-Ray
LBN: Dwayne R Cook Heritage Mobile X-Ray
Dwayne R Cook Heritage Mobile X-Ray is an health care organization with primary practice located at 6330 N Center Dr Suite 107, Norfolk VA 23502-4008. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty.
Dwayne R Cook Heritage Mobile X-Ray can be contacted via phone (757) 466-1163, or through Cook, Dwayne Robert via phone (757) 580-6040.
Contact Information
Primary practice address
6330 N Center Dr Suite 107
Norfolk VA 23502-4008
Phone: (757) 466-1163
Fax: (757) 466-1178
Website:
Authorized official contact:
Name: Cook, Dwayne Robert Radiologic Technologist (RT)
Phone: (757) 580-6040
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | 0120 002367 | Virginia |
Profile Details
| NPI number | 1588838817 |
|---|---|
| LBN Legal business name | Dwayne R Cook Heritage Mobile X-Ray |
| DBA Doing business as | |
| Authorized official | Cook, Dwayne Robert Radiologic Technologist (RT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2008 |
| Last updated | May 31st, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588838817 | NPPES |
| Virginia | MEDICAID | 008946752 |
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