Active NPI
Advanced Diagnostic Resources LLC
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Jupiter, FL
National Provider Identifier
1598845778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Legal business name
- ADVANCED DIAGNOSTIC RESOURCES LLC
- Practice address
- 500 University Blvd
Suite 107
Jupiter, FL 33458-2773 - Phone
- (561) 775-6600
- Fax
- (561) 775-6076
- NPI assigned
- Oct 16, 2006
- Last updated
- Oct 18, 2010
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Internal Medicine Physician | 207RM1200X | Primary |
Addresses
Primary practice location
500 University Blvd
Suite 107
Jupiter, FL 33458-2773
Mailing address
500 University Blvd
Suite 107
Jupiter, FL 33458-2773
Phone (561) 775-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070303000002 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3577665926 |
1 other NPI on this enrollment Practice locations: Jupiter, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Jupiter, FL
- NPI 1083943930
O20070303000002
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Therapeutic Radiology Physician
- Atlantis, FL
- NPI 1942276506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287360000000",
"number": "1598845778",
"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 107",
"city": "JUPITER",
"state": "FL",
"postal_code": "334582773",
"telephone_number": "561-775-6600",
"fax_number": "561-775-6076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DIAGNOSTIC RESOURCES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2010-10-18",
"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": "207RM1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
- Advanced Allergy, Asthma & Sinus Care, P.a.
- Advanced Cardiovascular Consultants LLC
- Advanced Chiropractic & Wellness, Inc
- Advanced Dental Concepts of Jupiter, Inc.
- Advanced Diagnostic Resources
- Advanced Fitness & Therapy
- Advanced Fitness & Therapy
- Advanced Fitness & Therapy at Abacoa, Inc.
- Advanced Internal Medicine LLC
- Advanced Kidney Care MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.