NPIMap

Advanced Medical Imaging Inc

Organization Active NPI Sonography Radiologic Technologist · Folsom, CA

NPI 1316947658 · NPPES record last updated Oct 30, 2017

Key facts

NPI
1316947658
Entity type
Organization (NPI type 2)
Primary specialty
Sonography Radiologic Technologist 2471S1302X
Legal business name
ADVANCED MEDICAL IMAGING INC
Practice address
80 Iron Point Circle
#118
Folsom, CA 95630-6449
Phone
(916) 984-8102
Fax
(916) 984-8115
NPI assigned
Jul 28, 2005
Organization subpart
No

Authorized official

Name
Pamela Ann Courtney
Title
Office Manager
Phone
(916) 984-8102

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20051206001026 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1850311796 Practice locations: Folsom, CA

National Provider Directory

Locations

329 E Bellevue Rd
Atwater, CA 95301
Phone (209) 358-6494

1849 Iron Point Rd
Ste 160
Folsom, CA 95630
Phone (916) 984-8102

2600 E Bidwell St
Ste 230
Folsom, CA 95630
Phone (916) 984-8102

80 Iron Point Cir
Ste 118
Folsom, CA 95630
Phone (916) 984-8102

1558 Poole Blvd
Ste A
Yuba City, CA 95993
Phone (530) 755-0882

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist
Group: 193400000X SINGLE SPECIALTY GROUP		 2471S1302X Yes

Addresses

Primary practice location

80 Iron Point Circle
#118
Folsom, CA 95630-6449

Mailing address

80 Iron Point Circle
#118
Folsom, CA 95630-6449
Phone (916) 984-8102

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 30, 2017.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1316947658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 IRON POINT CIRCLE",
            "address_2": "#118",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306449",
            "telephone_number": "916-984-8102",
            "fax_number": "916-984-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 IRON POINT CIRCLE",
            "address_2": "#118",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306449",
            "telephone_number": "916-984-8102",
            "fax_number": "916-984-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-984-8102"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

All providers in Folsom, CA · Sonography Radiologic Technologist in California

Sources for this page

Verify at the official NPI Registry.