ADVANCED IMAGING S.C. NPI 1073592473

NPI Information

NPI: 1073592473
Provider Name: ADVANCED IMAGING S.C.
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
228 S 18TH AVE
STURGEON BAY, WI
ZIP 54235
Phone: (920) 746-9729
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ADVANCED IMAGING S.C. is a radiology clinic center in Sturgeon Bay, WI. ADVANCED IMAGING S.C. NPI is 1073592473. The provider is registered as an organization entity type.

The provider's business location address is:

228 S 18TH AVE
STURGEON BAY, WI
ZIP 54235-000
Phone: (920) 746-9729
Fax: (920) 746-9881

The provider's authorized official is Kurt G Harris .
The authorized official title is President and has the following contact phone number (920) 746-9729.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32877400	MEDICAID	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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