# ADVANCED DIAGNOSTICS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487652442
- **Authorized official:** DANIEL P BOUKNIGHT MD (PRESIDENT & CEO)
- **Authorized official phone:** (803) 888-2282

## Contact information

- **Practice address:** 1 WELLNESS BLVD STE 105, IRMO, SC 29063-2872
- **Practice address phone:** (803) 419-4235
- **Practice address fax:** (803) 419-4236
- **Mailing address:** 1 WELLNESS BLVD STE 105, IRMO, SC 29063-2872
- **Mailing address phone:** (803) 419-4235
- **Mailing address fax:** (803) 419-4236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | — | NULL | Yes |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | — | — | Yes |
| 2471S1302X | Sonography Radiologic Technologist | — | NULL | — |
| 2471S1302X | Sonography Radiologic Technologist | — | — | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | NULL | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | — | — |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 06/27/2022