Organization
ADVANCED RADIOLOGY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA GLENN (PRESIDENT)
(727) 465-0593
Entity
Organization
Contact information
Practice address
30 GREENHAVEN CT, OLDSMAR, FL 34677-4809
(727) 480-3875
Mailing address
30 GREENHAVEN CT, OLDSMAR, FL 34677-4809
(727) 480-3875
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1600496EVC
EVERCARE
FL
05
—
510020800
—
FL
01
—
630001656
PALMETTO GBA
FL
01
—
W9933
BLUE CROSS
FL
Enumeration date
08/12/2006
Last updated
04/25/2008
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