Organization Active NPI

Sentara Advanced Imaging Solutions, LLC

  • Diagnostic Radiology Physician
  • Virginia Beach, VA
National Provider Identifier
1902552755
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SENTARA ADVANCED IMAGING SOLUTIONS, LLC
Practice address
1080 First Colonial Rd Ste 101
Virginia Beach, VA 23454-2406
Phone
(757) 395-6655
Fax
(833) 939-7151
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Doris Prince
Title
Director
Phone
(757) 983-5475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1080 First Colonial Rd Ste 101
Virginia Beach, VA 23454-2406

Mailing address

1080 First Colonial Rd Ste 101
Virginia Beach, VA 23454-2406
Phone (757) 395-6655

Other names 1

  • Sentara Advanced Imaging Solutions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sentara Advanced Imaging Solutions7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1902552755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 FIRST COLONIAL RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542406",
            "telephone_number": "757-395-6655",
            "fax_number": "833-939-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 FIRST COLONIAL RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542406",
            "telephone_number": "757-395-6655",
            "fax_number": "833-939-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA ADVANCED IMAGING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-983-5475"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Advanced Imaging Solutions",
            "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 1, 2022; 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.