MEDICARE: AMERICAN DIAGNOSTIC CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173F00000X	Sleep Specialist (PhD)

General Provider Information

NPI Number	:	1831113216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN DIAGNOSTIC CENTERS

Provider Business Mailing Address
First Line	:	7900 BELFORT PKWY
Second Line	:	SUITE 301
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6931
Country	:	US
Telephone Number	:	904-517-5500
Fax Number	:	904-517-5501

Provider Business Practice Location Address
First Line	:	7900 BELFORT PKWY
Second Line	:	SUITE 301
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6931
Country	:	US
Telephone Number	:	904-517-5500
Fax Number	:	904-517-5501

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANDREW KING
Credential	:
Telephone Number	:	904-517-5500

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	12/15/2010

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Directions to “AMERICAN DIAGNOSTIC CENTERS ” Practice Location

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