Organization
TRIANGLE ADVANCED DIAGNOSTIC IMAGING.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIRSTEN M. TAN RDMS,RVT (PRESIDENT)
(919) 372-1762
Entity
Organization
Contact information
Practice address
122 WEST CHURCH STREET, CREEDMOOR, NC 27522
(919) 372-1762
Mailing address
135 NAPERVILLE DR, CARY, NC 27519-8394
(919) 372-1762
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
31412
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457420846
1
NC
Enumeration date
01/03/2007
Last updated
08/22/2020
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