Advanced Healthcare Diagnostic Services, LLC
Organization Active NPI Radiology Clinic/Center · Poplar Bluff, MO
NPI 1831155571 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1831155571
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- ADVANCED HEALTHCARE DIAGNOSTIC SERVICES, LLC
- Practice address
- 2002 Kanell Blvd
Suite 104
Poplar Bluff, MO 63901-4045 - Phone
- (573) 785-4017
- Fax
- (573) 778-9132
- NPI assigned
- Apr 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Gregory J Carda, CPA,CMA
- Title
- Ceo
- Phone
- (573) 778-0020
National Provider Directory
Locations
2002 Kanell Blvd
Ste 104
Poplar Bluff, MO 63901
Phone (573) 785-4017
4061 Highway PP
Poplar Bluff, MO 63901
Phone (573) 727-9150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
2002 Kanell Blvd
Suite 104
Poplar Bluff, MO 63901-4045
Mailing address
4061 Highway PP
Poplar Bluff, MO 63901
Phone (573) 778-0020
Other providers in Poplar Bluff, MO
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- Aaron Aden
- Benjamin James Adkins
- Adult Day Activity Personal Training Inc
- Advanced Health Care Management Services, LLC
- Advanced Healthcare Management Services, LLC
- Advanced Healthcare Management Services, LLC
- Advanced Healthcare Surgical Center, LLC
- Advanced Pharmacy
- Advanced Therapy Services, LLC
All providers in Poplar Bluff, MO · Radiology Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.