Advanced Imaging Consultants Llc

NPI 1114235603 - Radiology - 2085R0202X

NPI Details
NPI 1114235603
Enumeration Date 09/17/2010
Last Updated 04/20/2016
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name LARRY D LARRY
Position PRESIDENT
Phone (618) 498-6402
Fax
Practice Location
400 MAPLE SUMMIT RD
RADIOLOGY DEPT
JERSEYVILLE IL, 62052-2028, US
Phone (618) 498-6402
Fax
Business Location
36 GARDEN CTR
BROOMFIELD CO, 80020-1730, US
Phone (303) 465-0401
Fax (303) 404-2317
Toxanomy
Taxonomy Code 2085R0202X
License State
License Number
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According to our database, Advanced Imaging Consultants Llc NPI is 1114235603, taxonomy code is 2085R0202X Advanced Imaging Consultants Llc physically located at 400 Maple Summit Rd, Jerseyville IL, 62052-2028. NPI Number 1033115704 has the healthcare provider type.

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1114235603 NPI number is provided on an as is basis without warranty of any kind. 1114235603 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Imaging Consultants Llc are for informational purposes only.