ADVANCE DIAGNOSTIC, LLC
NPI 1497239024
Radiology - Diagnostic Neuroimaging in Fayetteville, NC

Active since September 19, 2018CLIA 34D2212205 · Waiver
2850 VILLAGE DR STE 201, FAYETTEVILLE, NC 28304(910) 964-4995(919) 367-3399 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 2, 2024, Feb 4, 2019, Jan 29, 2019 and 1 more (4 updates tracked since 2018).

About Advance Diagnostic, Llc NPPES

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

ADVANCE DIAGNOSTIC, LLC (NPI 1497239024) is a healthcare organization registered as a diagnostic neuroimaging in Fayetteville, North Carolina and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Barbara Sullivan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1497239024
Entity TypeOrganization
Primary Taxonomy2085D0003X
Legal Business NameADVANCE DIAGNOSTIC, LLC
Location Address2850 VILLAGE DR STE 201Fayetteville, NC 28304-3864
Mailing Address1766 Metromedical DrFayetteville, NC 28304-3861 · (910) 964-4995 · Fax (919) 367-3399
Fax(919) 367-3399
Organization SubpartNo
Authorized OfficialBarbara SullivanOffice Manager · (910) 964-4995
Enumeration DateSeptember 19, 2018
Last NPPES UpdateJanuary 2, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
NPI 1497239024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic NeuroimagingAllopathic & Osteopathic Physicians
Taxonomy Code2085D0003X
Definition

A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.

Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X
2850 VILLAGE DR STE 201, Fayetteville, NC 28304

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 34D2212205

Advance Diagnostic · Fayetteville, NC
Active · expires Feb 2, 2027
CLIA Number34D2212205
Laboratory TypeIndependent
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorJamila R. Battle
Laboratory Phone(910) 446-1653
Laboratory LocationAdvance Diagnostic2850 Village Dr Ste 201, Fayetteville, NC 28304
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497239024, enumerated as an "organization" on September 19, 2018.

The provider is located at 2850 VILLAGE DR STE 201 FAYETTEVILLE, NC 28304 and the phone number is (910) 964-4995.

Radiology with taxonomy code 2085D0003X and a focus in Diagnostic Neuroimaging.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.