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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Magnetic Resonance Imaging (MRI) |
207RM1200X | 11 | Physician/Internal Medicine |
| NPI # | 1598845778 |
| LBN Legal business name | ADVANCED DIAGNOSTIC RESOURCES LLC |
| Authorized official | WILLIAM MAGNUS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/16/2006 |
| Last updated | 10/18/2010 - About 16 years ago |
| Identifiers | n/a |
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ADVANCED DIAGNOSTIC RESOURCES LLC