Organization Name: | AMERICAN DIAGNOSTIC SERVICES, INC. |
NPI Number: | 1356582910 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY LEE COLLETT (C.E.O.) |
Mailing Address: | 22285 N Pepper Rd Ste 105 Lake Barrington |
State: | IL US |
Postal Code: | 600102539 |
Phone Number: | 8473821728 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2009 |
NPI Last Update Date: | 03/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |