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A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) |
| NPI # | 1205933256 |
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| LBN Legal business name | ADELAIDE DIAGNOSTIC CENTER LLC | ||||||||
| Authorized official | JACKSON JACOB - (GENERAL MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/20/2006 | ||||||||
| Last updated | 02/19/2008 - About 18 years ago | ||||||||
| Identifiers |
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ADELAIDE DIAGNOSTIC CENTER LLC