Organization Active NPI

Advanced Medical Diagnostics PLLC

  • Diagnostic Radiology Physician
  • Ferndale, MI
National Provider Identifier
1003145939
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED MEDICAL DIAGNOSTICS PLLC
Practice address
1220 E 9 Mile Rd
A
Ferndale, MI 48220-1972
Phone
(248) 414-2380
Fax
(248) 544-4681
NPI assigned
Dec 24, 2009
Last updated
Feb 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Linda Olsen
Title
Authorized Official
Phone
(248) 921-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MI Primary

Addresses

Primary practice location

1220 E 9 Mile Rd
A
Ferndale, MI 48220-1972

Mailing address

1315 Porters LN
Bloomfield, MI 48302-0943
Phone (248) 515-7400

Other identifiers 2

IdentifierTypeStateIssuer
700F387100OtherMIBCBS GROUP
1003145939MedicaidMI

National Provider Directory

National Provider Directory

Locations

1220 E 9 Mile Rd
#A
Ferndale, MI 48220
Phone (248) 414-2369

1220 E 9 Mile Rd
Ste A
Ferndale, MI 48220
Phone (248) 414-2369

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1003145939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 PORTERS LN",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483020943",
            "telephone_number": "248-515-7400",
            "fax_number": "248-548-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 9 MILE RD",
            "address_2": "A",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201972",
            "telephone_number": "248-414-2380",
            "fax_number": "248-544-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL DIAGNOSTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-921-5533",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "700F387100",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003145939",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.