Provider Type Icon

ADVANCED RADIOLOGY OF GRAND ISLAND PC NPI 1306881800


NPI Information

NPI: 1306881800
Provider Name: ADVANCED RADIOLOGY OF GRAND ISLAND, PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 28D2191027

Address:
730 N DIERS AVE
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 398-1344
Get Directions

ADVANCED RADIOLOGY OF GRAND ISLAND, PC is a diagnostic radiology radiology in Grand Island, NE. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADVANCED RADIOLOGY OF GRAND ISLAND, PC NPI is 1306881800. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

730 N DIERS AVE
GRAND ISLAND, NE
ZIP 68803-954
Phone: (308) 398-1344
Fax: (308) 398-1346

The provider's authorized official is John L Allen .
The authorized official title is President/owner and has the following contact phone number (308) 398-1344.

The CLIA number assigned to this NPI record is 28D2191027 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 10/11/2016.


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

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
1099790MEDICARE PINNEBRASKA
2DE0658OTHERNEBRASKARAILROAD MEDICARE
310025333200MEDICAIDNEBRASKA

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

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.