Advantage Diagnostic Imaging Center

NPI #1306969621 in Las Vegas, Nevada

Provider Information

NPI Number
1306969621
Entity Type
Organization
Organization Name
Advantage Diagnostic Imaging Center
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Apr 10, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2980 S JONES BLVD
Address 2
SUITE E
State
Nevada
ZIP Code
89146-5656
Phone
(708) 478-6417

Authorized Official

Name
MR. JIM KOLB
Title
EXECUTIVE VICE PRESIDENT
Phone
(708) 478-6403

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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