Lakeview Medical Center, Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

215137 Issued in VA

Legal business name

LAKEVIEW MEDICAL CENTER, INC

Doing business as

Lakeview Churchland Radiology

Practice address

4868 Bridge Rd
Suffolk, VA 23435-2048

Phone

(757) 483-7900

Fax

(757) 483-7164

NPI assigned

Oct 12, 2010

Organization subpart

No

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

Authorized official

Name

Michael B Stout

Title

Ceo

Phone

(757) 539-0251

Specialties & licenses 2

Addresses

Other names 1

• Lakeview Churchland Radiology Doing business as

Tax ID family

Cardology Asooc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lakeview Anesthesia

  • Certified Registered Nurse Anesthetist
  • Suffolk, VA
  • NPI 1265677397
  NPD tax ID

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

{
    "created_epoch": "1286841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1417267410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEADE PKWY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344259",
            "telephone_number": "757-539-0251",
            "fax_number": "757-934-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4868 BRIDGE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352048",
            "telephone_number": "757-483-7900",
            "fax_number": "757-483-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-12",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-539-0251"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "VA",
            "license": "215137",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "VA",
            "license": "215137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Churchland Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Prince Center, Inc. (Lake Prince Woods)
• Tamica Lake
• Lakeview Anesthesia
• Lakeview Medical Center Inc
• Lakeview Medical Center Inc
• Beverly Ann Lambert Frazier, NCC, LPC
• Bernadette Lamotte, CPNP
• Jolena Lampron, M.S., OTR
• Parris D. Langhorne, NP
• Stephen Joseph Langston, M.D.

• Radiology Clinic/Center in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Radiology Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.