Organization
ADVANCED IMAGING DIAGNOSTICS LLC
Active
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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