| NPI | 1225117187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L. LONG Register Diagnostic Medical Sonogra 757-923-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: VA 00917) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |