| Organization Name: | ADVANCED IMAGING CENTER LLC |
| NPI Number: | 1033112990 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHODHAN L PATEL (MEDICAL DIRECTOR) |
| Mailing Address: | 7860 Burr St Schererville |
| State: | IN US |
| Postal Code: | 46375 |
| Phone Number: | 2198642900 |
| Fax Number: | 2198642910 |
| NPI Enumeration Date: | 05/24/2005 |
| NPI Last Update Date: | 02/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 1996061345 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |