First Colonial Diagnostic Center

LBN: Sentara Medical Group
First Colonial Diagnostic Center is an health care organization with primary practice located at 1080 First Colonial Rd Suite 100, Virginia Beach VA 23454-2406. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Sentara Medical Group can be contacted via phone (757) 395-6464, or through Taylor, Cindy A via phone (757) 252-3344.

Contact Information

Primary practice address
1080 First Colonial Rd Suite 100 Virginia Beach VA 23454-2406
Fax: (757) 395-6490
Website:
Authorized official contact:
Name: Taylor, Cindy A

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Laboratories / Clinical Medical Laboratory 291U00000X 49D0981411 Virginia

Profile Details

NPI number 1053350322
LBN Legal business name Sentara Medical Group
DBA Doing business as First Colonial Diagnostic Center
Authorized official Taylor, Cindy A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2006
Last updated Sep 23rd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053350322 NPPES
Virginia Other P00393284 RR MEDICARE PIN

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