Healthcare Provider Details
I. General information
NPI: 1447073887
Provider Name (Legal Business Name): VIRGINIA BEACH DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2024
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
936 GENERAL BOOTH BLVD STE C
VIRGINIA BEACH VA
23451-4862
US
IV. Provider business mailing address
936 GENERAL BOOTH BLVD STE C
VIRGINIA BEACH VA
23451-4862
US
V. Phone/Fax
- Phone: 844-757-7226
- Fax: 844-998-7200
- Phone: 844-757-7226
- Fax: 844-998-7200
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335V00000X |
| Taxonomy | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
L
STRACHAN
JR.
Title or Position: MANAGING PARTNER
Credential:
Phone: 205-246-1079