Organization
ADVANCED DIAGNOSTIC IMAGING PC
Active
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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