ADVANCED IMAGING INC – NPI #1528148715
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

ADVANCED IMAGING INC is a radiologist located in SOUTHLAKE, TX. NPPES has assigned the NPI number 1528148715 to ADVANCED IMAGING INC on October 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED IMAGING INC” is a dba name, the actual legal business name for this organization is ABOUDIB ADVANCED IMAGING INC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 16 years ago on Dec 03, 2010. 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 INC below.

NPI Profile for
ABOUDIB ADVANCED IMAGING INC

NPI Number
1528148715
Enumeration Date

(more than 19 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
ABOUDIB ADVANCED IMAGING INC
Doing Business As (dba): ADVANCED IMAGING INC
Primary location
3120 W SOUTHLAKE BLVD
SUITE 140
SOUTHLAKE, TX 76092
Phone: (817) 741-0808 Fax: (817) 741-0841
Mailing address
PO BOX 5456
TRAVERSE CITY, MI 49696
Phone: (817) 300-6481 Fax: (231) 421-5215
Organization Subpart
No
Authorized Official
TONY ABOUDIB
PRESIDENT
Phone: (817) 300-6481
Updated
Identifiers

Identifiers for ADVANCED IMAGING INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS0090DC
OTHERDEPARTMENT OF LABORTX376899000
OTHERRAILROAD MEDICAREP00012585
MEDICAIDTX088049401
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
TX R26088

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.