Provider Demographics
NPI:1275104416
Name:JAMES, ANGELA DENISE (CPRI,CPRT,CPRI)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:DENISE
Last Name:JAMES
Suffix:
Gender:F
Credentials:CPRI,CPRT,CPRI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 DUNBARTON DR STE H
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-4920
Mailing Address - Country:US
Mailing Address - Phone:757-774-2373
Mailing Address - Fax:
Practice Address - Street 1:14 COLONIAL WAY
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23325-4701
Practice Address - Country:US
Practice Address - Phone:757-289-6070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty