Advanced Diagnostic Imaging, PC
NPI #1043988983 in Mcminnville, Tennessee
Provider Information
- NPI Number
- 1043988983
- Entity Type
- Organization
- Organization Name
- Advanced Diagnostic Imaging, PC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 4, 2021
- Last Updated
- Sep 4, 2021
Practice Location
- Address
- 1428 SPARTA ST STE 4
- City
- Mcminnville
- State
- Tennessee
- ZIP Code
- 37110-1365
- Phone
- (931) 507-3668
Authorized Official
- Name
- SUSAN FENTON
- Title
- CREDENTIALING MANAGER
- Phone
- (615) 854-3409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Podiatrist |
| Durable Medical Equipment & Medical Supplies |
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