ADVANCED MEDICAL IMAGING LLC NPI 1518965029

NPI Information

  • NPI: 1518965029
  • Provider Name: ADVANCED MEDICAL IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 15D1080268
  • Address: 2008 W BOULEVARD
    KOKOMO, IN
    ZIP 46902
  • Phone: (765) 454-9729

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NPI Details

ADVANCED MEDICAL IMAGING LLC is a diagnostic radiology radiology in Kokomo, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED MEDICAL IMAGING LLC NPI is 1518965029. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2008 W BOULEVARD
KOKOMO, IN
ZIP 46902-079
Phone: (765) 454-9729

The provider's authorized official is Amy Stout .
The authorized official title is President/ceo and has the following contact phone number (615) 261-2306.

The CLIA number assigned to this NPI record is 15D1080268 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 3d radiographic procedure (HCPCS:76376)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of hand, 2 views (HCPCS:73120)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Ultrasound scan of scrotum (HCPCS:76870)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • X-ray of sacrum and tailbone, minimum of 2 views (HCPCS:72220)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Mri scan of bone of eye socket, face, and/or neck before and after contrast (HCPCS:70543)
  • Ct scan of chest before and after contrast (HCPCS:71270)

The enumeration date for this NPI number is 7/8/2005 and was last updated on 10/21/2024.

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
2293D00000XPhysiological LaboratoryNo

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
1000000363370OTHERINDIANABC/BS GROUP PIN NUMBER
2200431920AMEDICAIDINDIANA

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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