Active NPI
Kang Lu, M.D.
- Diagnostic Radiology Physician
- Fort Lee, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME110019
- Practice address
- 700 24TH St
Kenner Army Health Clinic
Fort Lee, VA 23801-1716 - Phone
- (804) 734-9118
- NPI assigned
- Sep 22, 2008
- Last updated
- Feb 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME110019 | FL | Primary |
Addresses
Primary practice location
700 24TH St
Kenner Army Health Clinic
Fort Lee, VA 23801-1716
Mailing address
4551 Jefferson Pointe LN
Apartment # 5.
Prince George, VA 23875-1478
Phone (253) 223-6793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48135 | TN | MD | Pharmacist |
| ME110019 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cal Devon Urgent Care Inc | Current | Accepting new patients | |
| Pacific Mobile Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| American Diagnostics Services LLC | Past | Accepting new patients | |
| Minutemen Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
| Ozarks Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| Symphony Diagnostic Services No 1 LLC | Past | Accepting new patients |
Locations
6208 Oakton St
Morton Grove, IL 60053
Phone (773) 262-5400
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Doctors of Diagnosis
- Diagnostic Radiology Physician
- Prince George, VA
- NPI 1821338153
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Morton Grove, IL
- NPI 1528229861
-
dba TridentCare
- Physiological Laboratory
- Hunt Valley, MD
- NPI 1487954913
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Diagnostic Radiology
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Honolulu, HI
- NPI 1093038275
Diagnostic Radiology
-
dba MobilexUSA
- Physiological Laboratory
- Clearwater, FL
- NPI 1932376233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1467602953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4551 JEFFERSON POINTE LN",
"address_2": "APARTMENT # 5.",
"city": "PRINCE GEORGE",
"state": "VA",
"postal_code": "238751478",
"telephone_number": "253-223-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 24TH ST",
"address_2": "KENNER ARMY HEALTH CLINIC",
"city": "FORT LEE",
"state": "VA",
"postal_code": "238011716",
"telephone_number": "804-734-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "KANG",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-22",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME110019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.