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Organization
ADVANCED MEDICAL IMAGING LLC
Active
Organization
ADVANCED MEDICAL IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY STOUT (PRESIDENT/CEO)
(615) 261-2306
Entity
Organization
Contact information
Practice address
2008 W BOULEVARD, KOKOMO, IN 46902-6079
(765) 454-9729
Mailing address
800 CRESCENT CENTRE DR STE 400, FRANKLIN, TN 37067-7270
(615) 261-2306
(855) 588-3545
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363370
BC/BS GROUP PIN NUMBER
IN
05
—
200431920A
—
IN
Enumeration date
07/08/2005
Last updated
09/15/2026
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