Organization · NPI-2

Advanced Diagnostic Medical Imaging, INC.

Radiology, Diagnostic Radiology · Tampa, FL

NPI number1851765028

StatusActive

Last updated in NPPESNov 25, 2015

Details

NPI: 1851765028
Entity type: Organization (NPI-2)
Legal business name: Advanced Diagnostic Medical Imaging, INC.
Organization subpart: Yes
Enumeration date: Nov 25, 2015
Last updated: Nov 25, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0202X	Radiology, Diagnostic Radiology	–	–	Yes

Practice location

1921 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6509

Phone 813-876-7600 · Fax 813-876-7675

Mailing address

1921 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6509

Phone 813-876-7600 · Fax 813-876-7675

Authorized official

Stanley R Dennison
Medical Director
8138767600

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