Provider Demographics
NPI:1447073887
Name:VIRGINIA BEACH DIAGNOSTICS, LLC
Entity type:Organization
Organization Name:VIRGINIA BEACH DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:STRACHAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:205-246-1079
Mailing Address - Street 1:209 S BIRDNECK RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-5813
Mailing Address - Country:US
Mailing Address - Phone:205-246-1079
Mailing Address - Fax:
Practice Address - Street 1:209 S BIRDNECK RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-5813
Practice Address - Country:US
Practice Address - Phone:205-246-1079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier