# ADVANCED HEALTHCARE DIAGNOSTIC SERVICES, LLC

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

## Provider details

- **NPI number:** 1831155571
- **Authorized official:** MR. GREGORY J CARDA CPA,CMA (CEO)
- **Authorized official phone:** (573) 778-0020

## Contact information

- **Practice address:** 2002 KANELL BLVD, SUITE 104, POPLAR BLUFF, MO 63901-4045
- **Practice address phone:** (573) 785-4017
- **Practice address fax:** (573) 778-9132
- **Mailing address:** 4061 HIGHWAY PP, POPLAR BLUFF, MO 63901
- **Mailing address phone:** (573) 778-0020
- **Mailing address fax:** (573) 778-1647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 08/22/2020