ADVANCED IMAGING ASSOCIATES – NPI #1962444240
Radiology

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

ADVANCED IMAGING ASSOCIATES is a radiologist located in GRANTS PASS, OR. NPPES has assigned the NPI number 1962444240 to ADVANCED IMAGING ASSOCIATES on June 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED IMAGING ASSOCIATES” is a dba name, the actual legal business name for this organization is THREE RIVERS RADIOLOGY ASSOCIATES, PC. 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 6 years ago on Jul 13, 2020. 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 ASSOCIATES below.

NPI Profile for
THREE RIVERS RADIOLOGY ASSOCIATES, PC

NPI Number
1962444240
Enumeration Date

(about 20 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
THREE RIVERS RADIOLOGY ASSOCIATES, PC
Doing Business As (dba): ADVANCED IMAGING ASSOCIATES
Primary location
500 SW RAMSEY AVE
GRANTS PASS, OR 97527-5554
Phone: (541) 472-7140 Fax:
Mailing address
PO BOX 1750
GRANTS PASS, OR 97528-0148
Phone: (541) 471-4485 Fax: (541) 471-4486
Organization Subpart
No
Authorized Official
MIKE TRIPP
ADMINISTRATOR
Phone: (541) 471-4485
Updated
Certification Date
Jul 13, 2020

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.

Identifiers

Identifiers for ADVANCED IMAGING ASSOCIATES

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
MEDICAIDOR189449
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)

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.