Advanced Diagnostic Imaging Ltd

LBN: Advanced Diagnostic Imaging Ltd
Advanced Diagnostic Imaging Ltd is an health care organization with primary practice located at 4500 Memorial Dr Dept Of Radiology, Belleville IL 62226-5360. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Advanced Diagnostic Imaging Ltd can be contacted via phone (618) 257-9567, or through Martin, David via phone (618) 257-9567.

Contact Information

Primary practice address
4500 Memorial Dr Dept Of Radiology Belleville IL 62226-5360
Phone: (618) 257-9567
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, David Doctor of Medicine (MD)
Phone: (618) 257-9567

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1235174764
LBN Legal business name Advanced Diagnostic Imaging Ltd
DBA Doing business as
Authorized official Martin, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Apr 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235174764 NPPES
Missouri Other 180930 BCBS OF MO
Missouri Other 8232083 BCBS OF MO

Popular Providers