Organization Active NPI

Advanced CT LLC

  • Radiology Clinic/Center
  • Yuma, AZ
National Provider Identifier
1417317702
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ADVANCED CT LLC
Practice address
2435 S Avenue a
Ste. a
Yuma, AZ 85364-7175
Phone
(928) 726-0811
NPI assigned
Feb 29, 2016
Last updated
Feb 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Jim Corlett
Title
Partner
Phone
(949) 798-9225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

2435 S Avenue a
Ste. a
Yuma, AZ 85364-7175

Mailing address

2435 S Avenue a
Ste. a
Yuma, AZ 85364-7175
Phone (928) 726-0811

National Provider Directory

National Provider Directory

Locations

2435 S Avenue A
Ste A
Yuma, AZ 85364
Phone (928) 276-9042

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1417317702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 S AVENUE A",
            "address_2": "STE. A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647175",
            "telephone_number": "928-726-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 S AVENUE A",
            "address_2": "STE. A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647175",
            "telephone_number": "928-726-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "CORLETT",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "949-798-9225"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.