Provider Demographics
NPI:1548404064
Name:ADVANCED IMAGING TECHNOLOGIES, INC.
Entity Type:Organization
Organization Name:ADVANCED IMAGING TECHNOLOGIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CLINICAL
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTOWSKA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:509-375-3100
Mailing Address - Street 1:2490 GARLICK DR STE 102
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-1786
Mailing Address - Country:US
Mailing Address - Phone:509-375-3100
Mailing Address - Fax:509-429-7300
Practice Address - Street 1:2490 GARLICK DR STE 102
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354-1786
Practice Address - Country:US
Practice Address - Phone:509-375-3100
Practice Address - Fax:509-429-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty