ADVANCE DIAGNOSTIC, LLC – NPI #1497239024
Radiology

A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.

ADVANCE DIAGNOSTIC, LLC is a radiologist located in FAYETTEVILLE, NC. NPPES has assigned the NPI number 1497239024 to ADVANCE DIAGNOSTIC, LLC on September 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085D0003X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Neuroimaging

The NPI profile was previously updated about 2 years ago on Jan 02, 2024. 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 ADVANCE DIAGNOSTIC, LLC below.

NPI Profile for
ADVANCE DIAGNOSTIC, LLC

NPI Number
1497239024
Enumeration Date

(more than 7 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
ADVANCE DIAGNOSTIC, LLC
Primary location
2850 VILLAGE DR STE 201
FAYETTEVILLE, NC 28304-3864
Phone: (910) 964-4995 Fax: (919) 367-3399
Mailing address
1766 METROMEDICAL DR
FAYETTEVILLE, NC 28304-3861
Phone: (910) 964-4995 Fax: (919) 367-3399
Organization Subpart
No
Authorized Official
BARBARA SULLIVAN
OFFICE MANAGER
Phone: (910) 964-4995
Updated
Certification Date
Jan 02, 2024

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
2085D0003X
- Radiology / Diagnostic Neuroimaging (Primary)
261QS1200X
- Clinic/Center / Sleep Disorder Diagnostic

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.