Healthcare Provider Details

I. General information

NPI: 1013081413
Provider Name (Legal Business Name): ADAMS DIAGNOSTIC IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 01/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 EXPEDITION TRAIL SUITE 102
GETTYSBURG PA
17325
US

IV. Provider business mailing address

20 EXPEDITION TRAIL SUITE 102
GETTYSBURG PA
17325
US

V. Phone/Fax

Practice location:
  • Phone: 717-337-5991
  • Fax: 717-337-5995
Mailing address:
  • Phone: 717-337-5991
  • Fax: 717-337-5995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: SATISH A SHAH
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 717-337-5991