Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiology |
261QR0200X | 74 | Radiation Therapy Center | |
Clinic/Center |
261Q00000X |
| NPI # | 1255286175 |
| LBN Legal business name | ADVANCED IMAGING & WELLNESS LLC |
| Authorized official | KEN BRAND - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/04/2026 |
| Last updated | 03/10/2026 - About 3 months ago |
| Identifiers | n/a |
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