NPI 1003311259

Advanced Diagnostic Imaging, PC

Organisation Durable Medical Equipment & Medical Supplies Hermitage, TN

Practice location

Address: 5651 Frist Blvd STE 400, Hermitage, TN 37076-2058
Phone: (615) 467-4633
Fax: (615) 884-0009
Mailing address: 3024 Business Park Cir, Goodlettsville, TN 37072-3132

Authorised official

Name: Susan Fenton
Title: Multispecialty Credentialing Superv
Phone: (615) 851-6033

Registered specialties (2)

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

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Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1003311259
Entity type: Organization
NPI issued: 29 Mar 2018
Record last updated: 29 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.