Organization · Type 2 NPI

Tidewater Diagnostic Imaging Ltd

Diagnostic Radiology Physician · Hampton, VA

NPI number 1073626396 Active · reactivated Jan 11, 2019

About NPI 1073626396

Tidewater Diagnostic Imaging Ltd's National Provider Identifier is 1073626396, issued on Aug 17, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Hampton, VA. The record was last updated on Aug 18, 2021.