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ADVANCED MEDICAL DIAGNOSTICS PLLC NPI 1003145939


NPI Information

NPI: 1003145939
Provider Name: ADVANCED MEDICAL DIAGNOSTICS PLLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1220 E 9 MILE RD
A
FERNDALE, MI
ZIP 48220
Phone: (248) 414-2380
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ADVANCED MEDICAL DIAGNOSTICS PLLC is a diagnostic radiology radiology in Ferndale, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED MEDICAL DIAGNOSTICS PLLC NPI is 1003145939. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1220 E 9 MILE RD
A
FERNDALE, MI
ZIP 48220-972
Phone: (248) 414-2380
Fax: (248) 544-4681

The provider's authorized official is Linda Olsen .
The authorized official title is Authorized Official and has the following contact phone number (248) 921-5533.

The enumeration date for this NPI number is 12/24/2009 and was last updated on 2/15/2011.


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 RadiologyMICHIGANYes

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
1700F387100OTHERMICHIGANBCBS GROUP
21003145939MEDICAIDMICHIGAN
3MI2960MEDICARE PINMICHIGAN

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: 5/5/2024
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