OrganizationActive
Advanced Medical Group, LLC
NPI 1134554538 · Diagnostic Radiology Physician · Columbia, MO
Provider details
- NPI number
- 1134554538
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Greg Johnson, Ceo
Practice location
311 N Keene St
Columbia, MO 65201-6623
Phone: (573) 442-1788
Fax: (573) 442-1789
Mailing address
311 N Keene St
Columbia, MO 65201-6623
Registry dates
- Enumerated
- 2013-09-05
- Last updated
- 2013-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.