Advanced Diagnostic Imaging, LLC
Organization Active NPI Diagnostic Radiology Physician · Orangeburg, SC
NPI 1346313558 · NPPES record last updated Nov 8, 2010
Key facts
- NPI
- 1346313558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- ADVANCED DIAGNOSTIC IMAGING, LLC
- Practice address
- 1728 Village Park Dr
Orangeburg, SC 29118-2426 - Phone
- (803) 534-0053
- Fax
- (803) 536-1198
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Cynthia G Waystack
- Title
- Ceo
- Phone
- (803) 534-0053
Practitioners 16
-
Brian L Burke, MD
-
Jon Allen Carmain, M.D.
-
Joshua Nathan Macatol, M.D.
-
Christopher K Moses, M.D.
-
Aron D Rosenthal, MD
-
Robert Vaughan, M.D.
-
Farah Ian Brown, MD
-
Timothy E Dineen, MD
-
Michael K. Herron, M. D.
-
Nayyer U Islam, MD
-
Aruna Polsani, M.B.B.S
National Provider Directory
Locations
1728 Village Park Dr
Orangeburg, SC 29118
Phone (803) 536-1106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
1728 Village Park Dr
Orangeburg, SC 29118-2426
Mailing address
PO Box 2729
Orangeburg, SC 29116-2729
Phone (803) 534-0053
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN8540 | Other | GA | MEDICARE RAILROAD |
Other providers in Orangeburg, SC
- Stuart T Adams
- Michael Antonio Addison
- Adeniyi Ajao Adelakun
- Allen Adgerson
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All providers in Orangeburg, SC · Diagnostic Radiology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.