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ADVANCED RADIOLOGY S.C. NPI 1790773539


NPI Information

NPI: 1790773539
Provider Name: ADVANCED RADIOLOGY, S.C.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
615 VALLEY VIEW DR
STE 202
MOLINE, IL
ZIP 61265
Phone: (309) 762-1072
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ADVANCED RADIOLOGY, S.C. is a diagnostic radiology radiology in Moline, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED RADIOLOGY, S.C. NPI is 1790773539. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

615 VALLEY VIEW DR
STE 202
MOLINE, IL
ZIP 61265-150
Phone: (309) 762-1072
Fax: (309) 762-1094

The provider's authorized official is Craig P Tillman .
The authorized official title is President and has the following contact phone number (309) 762-1072.

The enumeration date for this NPI number is 10/6/2005 and was last updated on 5/1/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I0848MEDICARE PINIOWA
2260670MEDICARE PINILLINOIS

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: 11/14/2023

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.