ADVANCED DIAGNOSTIC IMAGING LTD NPI 1235174764

NPI Information

  • NPI: 1235174764
  • Provider Name: ADVANCED DIAGNOSTIC IMAGING LTD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 4500 MEMORIAL DR
    DEPT OF RADIOLOGY
    BELLEVILLE, IL
    ZIP 62226
  • Phone: (618) 257-9567

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NPI Details

ADVANCED DIAGNOSTIC IMAGING LTD is a diagnostic radiology radiology in Belleville, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED DIAGNOSTIC IMAGING LTD NPI is 1235174764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4500 MEMORIAL DR
DEPT OF RADIOLOGY
BELLEVILLE, IL
ZIP 62226-360
Phone: (618) 257-9567

The provider's authorized official is David Martin .
The authorized official title is President and has the following contact phone number (618) 257-9567.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 4/17/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DA3873MEDICARE PIN
2206705MEDICARE PINILLINOIS
3180930OTHERMISSOURIBCBS OF MO
48232083OTHERILLINOISBCBS OF IL

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: 11/21/2025

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