| Life Diagnostic Imaging LLC | |
|
1020 Independence Blvd Suite 102 Virginia Beach VA 23455-5500 | |
| (757) 963-6295 | |
| Not Available |
| Full Name | Life Diagnostic Imaging LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1020 Independence Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Drew Lawrence Digeronimo (PRESIDENT) |
| Authorized Official Contact | 7579636295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Diagnostic Imaging LLC 1011 Copper Stone Cir Chesapeake VA 23320-8274 Ph: (757) 617-3398 | Life Diagnostic Imaging LLC 1020 Independence Blvd Suite 102 Virginia Beach VA 23455-5500 Ph: (757) 963-6295 |
| NPI Number | 1801089800 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801089800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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