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Contact Information

ADVANCE DIAGNOSTIC, LLC
2850 VILLAGE DR STE 201
FAYETTEVILLE, NC28304-3864
 Phone: 910-964-4995
 Fax: 919-367-3399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Neuroimaging

2085D0003X
 

Sleep Disorder Diagnostic

261QS1200X
Indicates primary specialty

NPI Profile & details for ADVANCE DIAGNOSTIC, LLC

NPI Number 1497239024
LBN Legal business name ADVANCE DIAGNOSTIC, LLC
Authorized official BARBARA SULLIVAN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2018
Last updated 01/02/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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