Advanced Imaging, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

9401048 Issued in NC

Legal business name

ADVANCED IMAGING, INC.

Practice address

406 Thompson St
Eden, NC 27288-5044

Phone

(336) 623-6913

Fax

(336) 623-7087

NPI assigned

Sep 11, 2007

Last updated

Sep 11, 2007By 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

Dr. Frank Chipman Snyder, M.D.

Title

President

Phone

(336) 623-6913

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1912192006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 THOMPSON ST",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885044",
            "telephone_number": "336-623-6913",
            "fax_number": "336-623-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 THOMPSON ST",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885044",
            "telephone_number": "336-623-6913",
            "fax_number": "336-623-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "CHIPMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-623-6913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NC",
            "license": "9401048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891242M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Eden, NC
• Providers in Eden, NC by specialty
• Radiology Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.