Advanced Diagnostic Imaging PC

NPI #1639673965 in Lafayette, Tennessee

Provider Information

NPI Number
1639673965
Entity Type
Organization
Organization Name
Advanced Diagnostic Imaging PC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 21, 2018
Last Updated
Mar 28, 2018

Practice Location

Address
204 MEDICAL DR
ZIP Code
37083-1719
Phone
(615) 220-8788

Authorized Official

Name
SUSAN FENTON
Title
DO
Phone
(615) 851-6033

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier
Durable Medical Equipment & Medical Supplies

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