ADVANCED RADIOLOGY OF JEFFERSON CITY LLC NPI 1568621175

NPI Information

ADVANCED RADIOLOGY OF JEFFERSON CITY, LLC is a diagnostic radiology radiology in Jefferson City, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED RADIOLOGY OF JEFFERSON CITY, LLC NPI is 1568621175. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3218 W EDGEWOOD DR STE 200
JEFFERSON CITY, MO
ZIP 65109-951
Phone: (573) 635-6262
Fax: (573) 635-9786

The provider's authorized official is Alan Hillard .
The authorized official title is Physician and has the following contact phone number (573) 442-1788.

The CLIA number assigned to this NPI record is 26D1101103 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 6/9/2008.

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:

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