Organization
ADVANCED RADIOLOGY IMAGING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAURIN J SHAH MD (MEDICAL DIRECTOR)
(239) 454-2742
Entity
Organization
Contact information
Practice address
13731 METROPOLIS AVE, FT MYERS, FL 33912-7150
(239) 454-2742
(239) 466-2742
Mailing address
13300-56 S. CLEVELAND AVE, PMB # 239, FORT MYERS, FL 33907-7150
(239) 454-2742
(239) 466-2742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201956300
—
FL
01
—
DE1300
GROUP RAILROAD NUMBER
FL
Enumeration date
01/04/2006
Last updated
05/01/2009
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