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NPI Code Detail

MEDICARE: CHESAPEAKE DIAGNOSTIC IMAGING CENTERS, LLC

MEDICARE: CHESAPEAKE DIAGNOSTIC IMAGING CENTERS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174851711
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHESAPEAKE DIAGNOSTIC IMAGING CENTERS, LLC
Provider Business Mailing Address
First Line : 1554 RIVER BIRCH RUN N
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-7500
Country : US
Telephone Number : 757-965-4151
Fax Number : 757-965-4168
Provider Business Practice Location Address
First Line : 1034 BATTLEFIELD BLVD S STE 110
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23322-4215
Country : US
Telephone Number : 757-671-1144
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : TRACEY MASON
Credential :
Telephone Number : 757-965-4151
Provider Enumeration Date : 11/19/2009
Last Update Date : 03/24/2026

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1992734370 — ANNA C LOOMIS MD
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Directions to “CHESAPEAKE DIAGNOSTIC IMAGING CENTERS, LLC ” Practice Location

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