NPIMap

Organization Active NPI

First Meridian Medical LLC

  • Specialist
  • Virginia Beach, VA
National Provider Identifier
1194176149
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FIRST MERIDIAN MEDICAL LLC
Practice address
229 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone
(757) 671-1144
Fax
(757) 671-1265
NPI assigned
Jun 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tracey Mason
Title
Billing Manager
Phone
(757) 965-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

229 Clearfield Ave
Virginia Beach, VA 23462-1815

Mailing address

1554 River Birch Run N
Chesapeake, VA 23320-7500
Phone (757) 671-1144

Other names 1

  • MRI CT DIAGNOSTICS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050203000377 VA Part B Supplier - Clinic/Group Practice 5092766352 Receives reassigned benefits from 25 practitioners
2 other NPIs on this enrollment
Practice locations: Chesapeake, VA; Virginia Beach, VA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2116119MRI & CT Diagnostics229 Clearfield Avenue -Suite100, Virginia Beach, VA 23462Certificate of waiverJul 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
First Meridian Medical LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

596 Lynnhaven Pkwy
Ste 101
Virginia Beach, VA 23452
Phone (757) 671-1144

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1194176149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 RIVER BIRCH RUN N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233207500",
            "telephone_number": "757-671-1144",
            "fax_number": "757-965-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 CLEARFIELD AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621815",
            "telephone_number": "757-671-1144",
            "fax_number": "757-671-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MERIDIAN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "757-965-4151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI CT DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MRI CT DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.