Organization
ADVANCED INTEGRATED MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GRANT (OWNER)
(412) 630-9080
Entity
Organization
Contact information
Practice address
9800A MCKNIGHT RD, SUITE 205, PITTSBURGH, PA 15237-6003
(412) 630-9080
(412) 630-9553
Mailing address
9800A MCKNIGHT RD, SUITE 205, PITTSBURGH, PA 15237-6003
(412) 630-9080
(412) 630-9553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018131140002
—
PA
01
—
210469
UPMC
PA
01
—
224581
HEALTH AMERICA
PA
01
—
241952
HIGHMARK
PA
Enumeration date
05/05/2006
Last updated
04/06/2011
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