MEDICARE: ADVANCED IMAGING SERVICES, INC

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	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841359858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED IMAGING SERVICES, INC

Provider Business Mailing Address
First Line	:	PO BOX 380552
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78268-7552
Country	:	US
Telephone Number	:	210-684-0409
Fax Number	:	210-684-0260

Provider Business Practice Location Address
First Line	:	5501 GRISSOM ROAD
Second Line	:	SUITE 103
City	:	SAN ANTONIO
State	:	TX
Zip	:	78238-3035
Country	:	US
Telephone Number	:	210-684-0409
Fax Number	:	210-684-0260

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	ZACHARY RATHBUN
Credential	:	BBA
Telephone Number	:	210-684-0409

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	01/19/2026

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Directions to “ADVANCED IMAGING SERVICES, INC ” Practice Location

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