Advanced Medical Group, LLC
Radiology, Diagnostic Radiology in Columbia, MO. Organization (NPI-2).
NPI number1134554538
StatusActive
Last updated in NPPESSep 5, 2013
Details
- NPI
- 1134554538
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Sep 5, 2013
- Last updated
- Sep 5, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
311 N Keene StColumbia, MO 65201-6623
Phone 573-442-1788 · Fax 573-442-1789
Mailing address
311 N Keene StColumbia, MO 65201-6623
Authorized official
Greg Johnson
Ceo
5734421788
Is something wrong?
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