Organization
AMERICAN DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT MASODY (OWNER)
(770) 241-7071
Entity
Organization
Contact information
Practice address
3937 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 676-0625
Mailing address
4160 CHEROKEE ST NW, KENNESAW, GA 30144-1279
(770) 241-7071
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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