Provider Demographics
NPI:1295067015
Name:ADVANCED IMAGING PARTNERS,INC.
Entity type:Organization
Organization Name:ADVANCED IMAGING PARTNERS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RDIOLOGY TECHNOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:KRASNICKI
Authorized Official - Suffix:
Authorized Official - Credentials:RT(R)(M)(ARRT) ARDMS
Authorized Official - Phone:410-379-2648
Mailing Address - Street 1:6385 LOUDON AVE
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5636
Mailing Address - Country:US
Mailing Address - Phone:410-379-2648
Mailing Address - Fax:
Practice Address - Street 1:4801 DORSEY HALL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7766
Practice Address - Country:US
Practice Address - Phone:443-436-1671
Practice Address - Fax:443-436-1679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD45342471S1302X
MD134964247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Multi-Specialty
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty