Organization Active NPI

Ross Diagnostic Imaging Medical Center LLC

  • Radiography Radiologic Technologist
  • Chesapeake, VA
National Provider Identifier
1871196212
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
Legal business name
ROSS DIAGNOSTIC IMAGING MEDICAL CENTER LLC
Practice address
1325 Oleander Ave
Chesapeake, VA 23325-3745
Phone
(213) 431-0393
NPI assigned
Nov 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Sue Weerasinghe
Title
Operations Manager
Phone
(213) 431-0393

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Computed Tomography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471C3401X
Radiography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471C3402X Primary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471M1202X

Addresses

Primary practice location

1325 Oleander Ave
Chesapeake, VA 23325-3745

Mailing address

1325 Oleander Ave
Chesapeake, VA 23325-3745
Phone (213) 431-0393

Other identifiers 1

IdentifierTypeStateIssuer
1396344859OtherVANPPES

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TheWeb Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210413002450 VA Part B Supplier - Mass Immunization (Roster Biller Only) 9133537012 Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1871196212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 OLEANDER AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253745",
            "telephone_number": "213-431-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 OLEANDER AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253745",
            "telephone_number": "213-431-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS DIAGNOSTIC IMAGING MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "WEERASINGHE",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "213-431-0393"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1396344859",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TheWeb",
            "affiliation": "N",
            "endpointDescription": "AdvancedMD Platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "1325 Oleander Ave",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233253745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.