Advanced Diagnostics

LBN: George L. Rodriguez, M.D., P.C.
Advanced Diagnostics is an health care organization with primary practice located at 1326 Macdade Blvd , Woodlyn PA 19094-1500. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI). Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) is the primary health care specialty. George L. Rodriguez, M.D., P.C. can be contacted via phone (215) 425-1500, or through Bamba, Ellen C. via phone (215) 425-1500.

Contact Information

Primary practice address
1326 Macdade Blvd Woodlyn PA 19094-1500
Phone: (215) 425-1500
Fax: (214) 525-1659
Website:
Map and Directions
Authorized official contact:
Name: Bamba, Ellen C.
Phone: (215) 425-1500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD 045274E Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD 036647E Pennsylvania
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD 032938-E Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 131553-1 - NY New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 155494-1 - NY New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MA076212 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD 435786 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD 422104 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X

Profile Details

NPI number 1790910404
LBN Legal business name George L. Rodriguez, M.D., P.C.
DBA Doing business as Advanced Diagnostics
Authorized official Bamba, Ellen C.
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2009
Last updated Jun 24th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790910404 NPPES
Other 626086 HIGHMARK BLUE SHIELD
Other 0455759000 HIGHMARK BLUE SHIELD

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