Advanced Diagnostic Imaging, PC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Dickson, TN
NPI 1013482660 · NPPES record last updated Oct 15, 2018
Key facts
- NPI
- 1013482660
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ADVANCED DIAGNOSTIC IMAGING, PC
- Practice address
- 425 Henslee Dr
Dickson, TN 37055-2166 - Phone
- (615) 375-8287
- NPI assigned
- Oct 10, 2018
- Organization subpart
- No
Authorized official
- Name
- Susan Fenton
- Title
- Credentialing Supervisor
- Phone
- (615) 851-6033
Corporate family (same tax ID) 12
Practitioners 1
-
Melissa G Reynolds, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181229000129 | TN | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 7315848140 | Practice locations: Dickson, TN |
National Provider Directory
- Tax ID family
- Advancd Diagnostic Imaging PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
425 Henslee Dr
Dickson, TN 37055-2166
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033
Other names
- Orthopaedic Specialists
Other providers in Dickson, TN
- Accent Smile Center
- Brooke Noelle Adkins
- Daniel J Adkisson
- Advancd Diagnostic Imaging, PC
- Advanced Diagnostic Imaging PC
- Advanced Diagnostic Imaging, PC
- Advanced Foot & Ankle Care Centers, PC
- Advanced Medical Consultants Two L.L.C.
- Agilitas USA, Inc
- Bobby Patrick Aguayo
All providers in Dickson, TN · Durable Medical Equipment & Medical Supplies in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.