Organization
ADVANCED DIAGNOSTIC IMAGING PC
Active
Other names
Wabash Diagnostic Imaging, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE L. COLLINS (OFFICE MANAGER)
(812) 475-0765
Entity
Organization
Contact information
Practice address
328 N 2ND ST STE 101, VINCENNES, IN 47591-1353
(812) 882-8252
Mailing address
1120 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8000
(812) 471-7086
(812) 471-3381
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200181650A
—
IN
Enumeration date
02/06/2007
Last updated
09/30/2009
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