Healthcare Provider Details

I. General information

NPI: 1770596306
Provider Name (Legal Business Name): INTEGRATED MEDICAL SERVICES PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 KEMPSVILLE RD
VIRGINIA BEACH VA
23464-7302
US

IV. Provider business mailing address

1446 KEMPSVILLE RD SUITE 204
VIRGINIA BEACH VA
23464-7300
US

V. Phone/Fax

Practice location:
  • Phone: 757-474-7470
  • Fax: 757-474-7477
Mailing address:
  • Phone: 757-474-7460
  • Fax: 757-474-7455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MS. CHERYL ANN LESKO
Title or Position: PRACTICE MANAGER
Credential:
Phone: 757-474-7460