Organization
ADVANCED RADIOLOGY OF GRAND ISLAND, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L ALLEN MD (PRESIDENT/OWNER)
(308) 398-1344
Entity
Organization
Contact information
Practice address
730 N DIERS AVE, GRAND ISLAND, NE 68803-4954
(308) 398-1344
(308) 398-1346
Mailing address
730 N DIERS AVE, GRAND ISLAND, NE 68803-4954
(308) 398-1344
(308) 398-1346
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025333200
—
NE
01
—
DE0658
RAILROAD MEDICARE
NE
Enumeration date
06/18/2006
Last updated
10/11/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up