Advanced Diagnostic Imaging, PC

NPI #1750976452 in Woodbury, Tennessee

Provider Information

NPI Number
1750976452
Entity Type
Organization
Organization Name
Advanced Diagnostic Imaging, PC
Subpart
Yes (part of a larger organization)
Parent Organization
ADVANCED DIAGNOSTIC IMAGING, PC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 4, 2021
Last Updated
Mar 4, 2021

Practice Location

Address
370 DOOLITTLE RD STE 4
ZIP Code
37190-1129
Phone
(615) 494-1234

Authorized Official

Name
SUSAN FENTON
Title
CREDENTIALING SUPERVISOR
Phone
(615) 851-6033

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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