Organization · Type 2 NPI

Tidewater Heart Laboratories

Specialist · Hampton, VA

NPI number 1164613543 Active

Practice location

2116 Executive Dr
Hampton, VA 23666-2402

Fax (757) 224-4955

Mailing address

2115 Executive Dr, Suite 1B
Hampton, VA 23666

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1164613543

Tidewater Heart Laboratories's National Provider Identifier is 1164613543, issued on Aug 9, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hampton, VA. The record was last updated on Aug 9, 2007.