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TIDEWATER HEART LABORATORIES
NPI 1164613543
Specialist in Hampton, VA

Active since August 09, 2007
2116 EXECUTIVE DR, HAMPTON, VA 23666(757) 224-4233(757) 224-4955 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidewater Heart Laboratories NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDEWATER HEART LABORATORIES (NPI 1164613543) is a healthcare organization registered as a specialist in Hampton, Virginia and active in the NPI registry since August 2007. The organization lists Bonnie Herring, Office Administator, as its authorized official.

NPPES Registry Identity

NPI1164613543
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTIDEWATER HEART LABORATORIES
Location Address2116 EXECUTIVE DRHampton, VA 23666-2402
Mailing Address2115 Executive Dr, Suite 1bHampton, VA 23666 · (757) 825-4260 · Fax (757) 825-4265
Phone(757) 224-4233
Fax(757) 224-4955
Organization SubpartYesParent: Tidewater Heart Institute
Authorized OfficialBonnie HerringOffice Administator · (757) 825-4260
Enumeration DateAugust 9, 2007
✔ NPI 1164613543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
2116 EXECUTIVE DR, Hampton, VA 23666
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Other Identifiers 1

Medicare UPINB05848VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIDEWATER HEART INSTITUTE INC
Internal Medicine (Cardiovascular Disease)
2116 EXECUTIVE DR
HAMPTON, VA 23666
Hampton City (757) 825-4260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidewater Heart Laboratories's NPI number?

The NPI number for Tidewater Heart Laboratories is 1164613543. It was assigned to this organization in the NPPES registry on August 9, 2007.

Where is Tidewater Heart Laboratories located?

Tidewater Heart Laboratories is located at 2116 Executive Dr, Hampton, VA 23666. The listed phone number is (757) 224-4233.

What is Tidewater Heart Laboratories's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tidewater Heart Laboratories was last updated on August 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.