Advanced Diagnostic Radiology Pc
LBN: Advanced Diagnostic Radiology Pc
Advanced Diagnostic Radiology Pc is an health care organization with primary practice located at 1301 15Th Ave W , Williston ND 58801-3821. 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 Radiology Pc can be contacted via phone (701) 774-7401, or through Moradian, Glenn P via phone (208) 557-0999.
Contact Information
Primary practice address
1301 15Th Ave W
Williston ND 58801-3821
Phone: (701) 774-7401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1922006519 |
|---|---|
| LBN Legal business name | Advanced Diagnostic Radiology Pc |
| DBA Doing business as | |
| Authorized official | Moradian, Glenn P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Oct 17th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922006519 | NPPES |
| Idaho | Other | IF - 8L493 | BC NUMBER - IDAHO FALLS |
| Idaho | Other | POC - 8L501 | BC NUMBER - IDAHO FALLS |
| Idaho | MEDICAID | 807083700 | BC NUMBER - IDAHO FALLS |
| Idaho | Other | 8M916 | BC NUMBER - IDAHO FALLS |
| Idaho | Other | 000010149528 | BC NUMBER - IDAHO FALLS |
| Idaho | MEDICAID | 15040 | BC NUMBER - IDAHO FALLS |
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