ADVANCED MEDICAL GROUP LLC NPI 1134554538

NPI Information

ADVANCED MEDICAL GROUP, LLC is a diagnostic radiology radiology in Columbia, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED MEDICAL GROUP, LLC NPI is 1134554538. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

311 N KEENE ST
COLUMBIA, MO
ZIP 65201-623
Phone: (573) 442-1788
Fax: (573) 442-1789

The provider's authorized official is Greg Johnson .
The authorized official title is Ceo and has the following contact phone number (573) 442-1788.

The CLIA number assigned to this NPI record is 26D1075443 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2013 and was last updated on 9/5/2013.

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:

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.