BISTATE DIAGNOSTIC


Address: Rr2 Box 26 Riverbend Est, Bluefield, VA 24605-0784
Phone: 2763224520

BISTATE DIAGNOSTIC (NPI# 1699876706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699876706
Entity Type Organization
Organization Name BISTATE DIAGNOSTIC
Practice Address Rr2 Box 26 Riverbend Est
Bluefield
VA 24605-0784
Mailing Address Po Box 784
Bluefield
VA 24605-0784
Practice Telephone 2763224520
Practice Fax Number 2763224520
Mailing Telephone 2763224520
Mailing Fax Number 2763224520
Enumeration Date 2006-09-25
Last Update Date 2008-09-12
Authorized Official Name MR. REYNALDO DUIGUAN JOSE (PARTNER OWNER)
Authorized Official Telephone 2763224520
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471S1302X Radiologic Technologist
Specialization: Sonography
0101034219 VA Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 010269989 05

Office Location

Street Address RR2 BOX 26 RIVERBEND EST
City BLUEFIELD
State VA
Zip Code 24605-0784

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1053719229 Erika Elaine Bell Specialist/Technologist 3000 College Ave, Bluefield, VA 24605 2014-12-19
1487948006 Fermin Castro Occupational Therapist 20 Westwood Memorial Park, Bluefield, VA 24605 2011-05-31
1033422027 Crewz LLC Skilled Nursing Facility Building 20, Westwood Medical Park, Bluefield, VA 24605 2010-07-19
1285966358 Catherine Gillespie Speech-Language Pathologist 108 1/2 Spruce Street, Bluefield, VA 24605 2010-02-01
1790951432 Derek S Buck Physical Medicine & Rehabilitation 111e Sanders Ln, Bluefield, VA 24605 2008-05-02
1275745994 Christina Lynn Adkins Occupational Therapist Westwood Healthcare Center, Westwood Medical Park, Bluefield, VA 24605 2007-05-04
1215158100 Beth Ann Reed Physical Therapist Westwood Center, Westwood Medical Park Rehab Department, Bluefield, VA 24605 2007-05-01
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Taxonomy Information

Taxonomy Code 2471S1302X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Sonography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053657247 Kelli Hollingsworth Radiologic Technologist 1420 3rd St Sw Ste 1b, Roanoke, VA 24016-5205 2012-12-17
1962779587 Ultrasound Scanning Services, Inc. Radiologic Technologist 2900 Young Dr, Oakton, VA 22124-1452 2011-11-28
1336326776 Shana Joy Hill Radiologic Technologist 2516 Belmont Terrace, 2h, Fredericksburg, VA 22401 2008-01-29
1063820710 Melissa Wagner Radiologic Technologist 1970 Roanoke Blvd, Salem, VA 24153-6404 2014-07-25
1891983953 Fairfax Ob-gyn Associates, Inc. Radiologic Technologist 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710 2007-10-13
1720272909 Rodolfo Alain Morera Radiologic Technologist 2300 Opitz Blvd, Woodbridge, VA 22191-3311 2007-08-30

Competitor

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City BLUEFIELD
Zip Code 24605

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Dataset Information

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.

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