Advanced Imaging Mobile Ultrasound Services
Organization Active NPI Physiological Laboratory · Adrian, PA
NPI 1669877320 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1669877320
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physiological Laboratory 293D00000X
- Legal business name
- ADVANCED IMAGING MOBILE ULTRASOUND SERVICES
- Practice address
- 1148 Reesedale Rd
Adrian, PA 16210-2216 - Phone
- (724) 919-8045
- Fax
- (724) 919-8052
- NPI assigned
- Oct 23, 2014
- Organization subpart
- No
Authorized official
- Name
- Lori Murphy
- Title
- Owner
- Phone
- (724) 919-8045
Practitioners 16
-
Aamer Z. Farooki, M.D.
-
Waqar A Shah, MD
-
Amnon Beniaminovitz, M.D.
-
Maximina Boutselis, M.D.
-
Abbas A Chamsuddin, M.D.
-
Steven J Dileo, MD
-
Jerald D Hansing, MD
-
Johnathan Charles Hays, M.D.
-
Mark R Krakovitz, MD
-
Simukayi Mutasa, M.D.
-
Pradheep J Shanker, M.D.
-
Cory Spicer, M.D.
-
Lloyd David Wagner, M.D.
-
Michael Yuz, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150603000365 | PA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7416278437 | Practice locations: Adrian, PA |
National Provider Directory
Locations
332 W 6th St
Unit A
East Liverpool, OH 43920
Phone (724) 919-8045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Specialist/Technologist Cardiovascular |
246XC2903X | |||
| Sonography Specialist/Technologist Cardiovascular |
246XS1301X | |||
| Physiological Laboratory | 293D00000X | Yes | ||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X |
Addresses
Primary practice location
1148 Reesedale Rd
Adrian, PA 16210-2216
Mailing address
1148 Reesedale Rd
Adrian, PA 16210-2216
Phone (724) 919-8045
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.