Organization
ADVANCED IMAGING DIAGNOSTICS LLC
Active
Other names
ADVANCED IMAGING DIAGNOSTICS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADAORA PERPETUA NOUMMY (ADMINISTRATION OFFICER)
(240) 899-5315
Entity
Organization
Contact information
Practice address
12501 PROSPERITY DR STE 330, SILVER SPRING, MD 20904-1655
(301) 604-4033
(240) 645-4013
Mailing address
12501 PROSPERITY DR STE 330, SILVER SPRING, MD 20904-1655
(240) 899-5315
(877) 253-6952
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
D0026012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331441300
—
MD
01
—
502474
INDIVIDUAL
MD
Enumeration date
04/16/2018
Last updated
07/31/2024
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