Advanced 3-D Diagnostics Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

P04000140182 Issued in FL

Legal business name

ADVANCED 3-D DIAGNOSTICS INC

Practice address

930 S Orange Avenue
Ste:1
Orlando, FL 32806

Phone

(407) 770-0039

Fax

(407) 447-7509

NPI assigned

Aug 16, 2006

Last updated

Jun 15, 2016By 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. Jose D. Dilone

Title

Office Manager

Phone

(407) 770-0039

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1427161256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S ORANGE AVENUE",
            "address_2": "STE:1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-770-0039",
            "fax_number": "407-447-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S ORANGE AVENUE",
            "address_2": "STE:1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-770-0039",
            "fax_number": "407-447-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED 3-D DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "DILONE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-770-0039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "P04000140182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P04000140182",
            "identifier": "P04000140182",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.