Individual provider · NPI-1
Raymond Ross, R.T.(R)(CT)(MR)(ARRT
Radiologic Technologist, Radiography · Chesapeake, VA
NPI number1396344859
StatusActive
Last updated in NPPESOct 25, 2020
Details
- NPI
- 1396344859
- Entity type
- Individual (NPI-1)
- Name
- Raymond Ross
- Credential
- R.T.(R)(CT)(MR)(ARRT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2020
- Certification date
- Oct 25, 2020
- Last updated
- Oct 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471C3402X | Radiologic Technologist, Radiography | 510394 | VA | Yes |
| 2471C3401X | Radiologic Technologist, Computed Tomography | 510394 | VA | |
| 2471M1202X | Radiologic Technologist, Magnetic Resonance Imaging | 510394 | VA | |
| 335V00000X | Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | 510394 | VA |
Practice location
1325 Oleander AveChesapeake, VA 23325-3745
Phone 757-401-5851
Mailing address
1325 Oleander AveChesapeake, VA 23325-3745
Phone 757-401-5851
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