# ADIRONDACK ADVANCE IMAGING LLC

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

## Provider details

- **NPI number:** 1588967483
- **Authorized official:** AJAY GOYAL M.D. (OWNER)
- **Authorized official phone:** (518) 409-8811

## Contact information

- **Practice address:** 375 BAY RD, SUITE 101, QUEENSBURY, NY 12804-3012
- **Practice address phone:** (518) 409-8811
- **Practice address fax:** (518) 409-8814
- **Mailing address:** 375 BAY RD, SUITE 101, QUEENSBURY, NY 12804-3012
- **Mailing address phone:** (518) 409-8811
- **Mailing address fax:** (518) 409-8814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 08/13/2014