ADVANCED IMAGING – NPI #1114684941
Physiological Laboratory

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Health Care Provider Taxonomy Code for Physiological Laboratory

ADVANCED IMAGING is a physiological laboratory located in LELAND, NC. NPPES has assigned the NPI number 1114684941 to ADVANCED IMAGING on November 29, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED IMAGING” is a dba name, the actual legal business name for this organization is COLUMBUS REGIONAL DIAGNOSTICS. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was previously updated about 3 years ago on Jan 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED IMAGING below.

NPI Profile for
COLUMBUS REGIONAL DIAGNOSTICS

NPI Number
1114684941
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLUMBUS REGIONAL DIAGNOSTICS
Doing Business As (dba): ADVANCED IMAGING
Other name(s)
All associated names:
Doing Business As (dba)
ADVANCED IMAGING
Former Legal Business Name
Columbus Regional Diagnostics
Primary location
509 OLDE WATERFORDWAY
SUITE 104
LELAND, NC 28451
Phone: (910) 640-4380 Fax: (910) 399-4353
1 Other location(s):
619 Jefferson St
Whiteville, NC 28472-3707
Phone: (910) 642-9085
Fax: (910) 642-3082
Mailing address
500 JEFFERSON ST
WHITEVILLE, NC 28472-3634
Phone: (910) 640-4060 Fax: (910) 642-9328
Organization Subpart
Yes - ADVANCED IMAGING is subpart of another organization.
Authorized Official
KIMBERLY GORE
CHIEF FINANCIAL OFFICER
Phone: (191) 064-0406
Updated
Certification Date
Jan 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.