ADVANCED IMAGING
NPI 1114684941
Physiological Laboratory in Leland, NC

Active since November 29, 2021CLIA 34D2240384 · Waiver
509 OLDE WATERFORDWAY, SUITE 104, LELAND, NC 28451(910) 640-4380(910) 399-4353 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2023, May 16, 2022, Nov 29, 2021 (3 updates tracked since 2021).

About Advanced Imaging NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED IMAGING (NPI 1114684941) is a healthcare organization registered as a physiological laboratory in Leland, North Carolina and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through October 18, 2027, maintains a secondary practice location in Whiteville, and lists Kimberly Jeffery Gore, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1114684941
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameCOLUMBUS REGIONAL DIAGNOSTICS
Location Address509 OLDE WATERFORDWAY, SUITE 104Leland, NC 28451
Mailing Address500 Jefferson StWhiteville, NC 28472-3634 · (910) 640-4060 · Fax (910) 642-9328
Fax(910) 399-4353
Organization SubpartYes
Authorized OfficialKimberly Jeffery GoreChief Financial Officer · (191) 064-0406
Enumeration DateNovember 29, 2021
Last NPPES UpdateJanuary 27, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
NPI 1114684941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

509 OLDE WATERFORDWAY, Leland, NC 28451

Other Names 2

Doing Business AsAdvanced Imaging
Former Legal Business NameColumbus Regional Diagnostics

Secondary Practice Location 1

Location 1619 Jefferson StWhiteville, NC 28472-3707 · Phone (910) 642-9085 · Fax (910) 642-3082

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2240384

Advanced Imaging - Leland · Leland, NC
Active · expires Oct 18, 2027
CLIA Number34D2240384
Laboratory TypeIdtf
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorPeter Chamber
Laboratory Phone(910) 640-4380
Laboratory LocationAdvanced Imaging - Leland509 Olde Waterford Way, Leland, NC 28451
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
10,250 services98 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
837 services101 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
60 services41 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
44 services41 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
23 services21 patients
Ultrasound scan of scrotum 76870
An ultrasound scan of the scrotum is a non-invasive imaging test. It uses sound waves to create pictures of the structures within the lower abdominal area. This helps to assess any discomfort or abnormalities you might be experiencing. The procedure is safe and painless.
20 services18 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Columbus Regional Diagnostics's NPI number?

The NPI number for Columbus Regional Diagnostics is 1114684941. It was assigned to this organization in the NPPES registry on November 29, 2021. The provider is doing business as Advanced Imaging.

Where is Columbus Regional Diagnostics located?

Columbus Regional Diagnostics is located at 509 Olde Waterfordway Suite 104, Leland, NC 28451. The listed phone number is (910) 640-4380.

What is Columbus Regional Diagnostics's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Does Columbus Regional Diagnostics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2240384) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Columbus Regional Diagnostics accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Oscar Health Plan of North Carolina, Inc list Columbus Regional Diagnostics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Columbus Regional Diagnostics was last updated on January 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.