DWAYNE R COOK HERITAGE MOBILE X-RAY (NPI# 1588838817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588838817 |
| Entity Type | Organization |
| Organization Name | DWAYNE R COOK HERITAGE MOBILE X-RAY |
| Practice Address |
6330 N Center Dr Suite 107 Norfolk VA 23502-4008 |
| Mailing Address |
Po Box 2145 Chesapeake VA 23327-2145 |
| Practice Telephone | 7574661163 |
| Practice Fax Number | 7574661178 |
| Mailing Telephone | 7574661163 |
| Mailing Fax Number | 7574661178 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2011-05-31 |
| Authorized Official Name | MR. DWAYNE ROBERT COOK I (OWNER) |
| Authorized Official Telephone | 7575806040 |
| Authorized Official Credential | RT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 0120 002367 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008946752 | 05 |
| Street Address |
6330 N CENTER DR SUITE 107 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770567950 | Patsy J Loiacono | Nuclear Medicine | 6330 N Center Dr, Building 13 Ste 220, Norfolk, VA 23502-4008 | 2005-12-01 |
| 1780986802 | Pathways To Life, Inc. | Community/Behavioral Health | 6330 N Center Dr, Norfolk, VA 23502-4008 | 2010-11-22 |
| 1225146947 | Farzana Mohtasham | Pathology | 6330 N Center Dr, Bldg 13 Suite 220, Norfolk, VA 23502-4008 | 2006-08-25 |
| 1730101171 | Pediatric Services of America, Inc. | Nursing Care | 6330 N Center Dr, Rappahannock Bldg # 13, Ste 142, Norfolk, VA 23502-4008 | 2006-07-24 |
| 1578549077 | Clyde W Wilcox Jr. | Radiology | 6330 N Center Dr, Bldg 13 Ste 220, Norfolk, VA 23502-4008 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104059047 | Sentara Life Care Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 251 S Newtown Rd, Norfolk, VA 23502-5718 | 2009-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366773962 | Haydrick Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9016 Laurel Oak Ln, Fredericksburg, VA 22407-9356 | 2010-01-20 |
| 1114122587 | Mmds International LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 845 Duff Patt Highway, Duffield, VA 24244-0584 | 2007-06-18 |
| 1861528747 | Mmds of Kingsport LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 367 Natures Way Dr, Duffield, VA 24244-5153 | 2007-02-26 |
| 1164583902 | Axios Care LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6603 W Broad St Ste 100, Richmond, VA 23230-1713 | 2006-12-13 |
| 1508943697 | Mobile Diagnostics PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 350 Lee Highway, Verona, VA 24482 | 2006-11-01 |
| 1801835889 | Berger and Burrow Enterprises Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2301 N Parham Rd Ste 4, Henrico, VA 23229-3171 | 2006-06-05 |
| 1396707345 | National Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6580 Valley Center Dr #302, Radford, VA 24141 | 2006-04-05 |
| 1538714704 | Pdi Health Va LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7400 Beaufont Springs Dr, North Chesterfield, VA 23225-5556 | 2019-08-05 |
| 1588226286 | United Diagnostic Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4115 Annandale Rd Ste 301d, Annandale, VA 22003-2500 | 2019-07-02 |
| 1598286437 | Physician's Mobile X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 210 Front Royal Pike, Winchester, VA 22602-7313 | 2017-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.