# ADVANCED DIAGNOSTIC IMAGING PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619231578
- **Authorized official:** SASAN AZAR MD (OWNER)
- **Authorized official phone:** (718) 662-6424

## Contact information

- **Practice address:** 13848 ELDER AVE, FLUSHING, NY 11355-4066
- **Practice address phone:** (718) 321-7100
- **Practice address fax:** (718) 321-7115
- **Mailing address:** 13848 ELDER AVE, FLUSHING, NY 11355-4066
- **Mailing address phone:** (718) 321-7100
- **Mailing address fax:** (718) 321-7115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 194192 | NY | Yes |

## Other

- **Enumeration date:** 06/26/2012
- **Last updated:** 06/26/2012