Advanced Diagnostic Resources

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

HCC7308 Issued in FL

Legal business name

ADVANCED DIAGNOSTIC RESOURCES

Practice address

500 University Blvd
Suite 114
Jupiter, FL 33458-2773

Phone

(561) 775-6600

Fax

(561) 775-6076

NPI assigned

Dec 23, 2009

Last updated

Dec 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Rouven Magnus, ENGINEER

Title

Owner

Phone

(561) 775-6600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advanced Diagnostic Resources LLC

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Jupiter, FL
  • NPI 1598845778

  O20070303000002

  Same enrollment

Locations

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1083943930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY BLVD",
            "address_2": "SUITE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582773",
            "telephone_number": "561-775-6600",
            "fax_number": "561-775-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY BLVD",
            "address_2": "SUITE 114",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582773",
            "telephone_number": "561-775-6600",
            "fax_number": "561-775-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "MAGNUS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROUVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-775-6600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ENGINEER"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC7308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adult Urology Clinic PA
• Advanced Allergy, Asthma & Sinus Care, P.a.
• Advanced Cardiovascular Consultants LLC
• Advanced Chiropractic & Wellness, Inc
• Advanced Dental Concepts of Jupiter, Inc.
• Advanced Diagnostic Resources LLC
• Advanced Fitness & Therapy
• Advanced Fitness & Therapy
• Advanced Fitness & Therapy at Abacoa, Inc.
• Advanced Internal Medicine LLC

• Diagnostic Radiology Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.