ADVANCED DIAGNOSTIC IMAGING LLC NPI 1710947908

NPI Information

  • NPI: 1710947908
  • Provider Name: ADVANCED DIAGNOSTIC IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 3620 FREDERICK AVE
    SAINT JOSEPH, MO
    ZIP 64506
  • Phone: (816) 676-0437

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NPI Details

ADVANCED DIAGNOSTIC IMAGING LLC is a diagnostic radiology radiology in Saint Joseph, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED DIAGNOSTIC IMAGING LLC NPI is 1710947908. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3620 FREDERICK AVE
SAINT JOSEPH, MO
ZIP 64506-047
Phone: (816) 676-0437
Fax: (816) 676-0763

The provider's authorized official is Edward M Stevens .
The authorized official title is Shareholder and has the following contact phone number (816) 271-6575.

The enumeration date for this NPI number is 3/23/2006 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
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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