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ADVANCED DIAGNOSTIC IMAGING PC NPI 1275672800


NPI Information

NPI: 1275672800
Provider Name: ADVANCED DIAGNOSTIC IMAGING PC

Other Name: ADVANCED DIAGNOSTIC IMAGING WEST

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
319 N SAINT JOSEPH AVE
EVANSVILLE, IN
ZIP 47712
Phone: (812) 423-9702
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ADVANCED DIAGNOSTIC IMAGING PC is a diagnostic radiology radiology in Evansville, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED DIAGNOSTIC IMAGING PC NPI is 1275672800. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Advanced Diagnostic Imaging West.

The provider's business location address is:

319 N SAINT JOSEPH AVE
EVANSVILLE, IN
ZIP 47712-562
Phone: (812) 423-9702

The provider's authorized official is Diana L. Ford .
The authorized official title is General Manager and has the following contact phone number (812) 471-7086.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1639970MEDICARE ID-TYPE UNSPECIFIEDINDIANA
2200181650AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.