NPIMap

Organization Active NPI

Professional Imaging of Tennessee

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Somerville, TN
National Provider Identifier
1073569901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
PROFESSIONAL IMAGING OF TENNESSEE
Practice address
187 Woodbridge Rd
Somerville, TN 38068-1220
Phone
(901) 465-7256
Fax
(901) 753-2896
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ronald Wright, R.T.
Title
President
Phone
(901) 465-7256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

187 Woodbridge Rd
Somerville, TN 38068-1220

Mailing address

187 Woodbridge Rd
Somerville, TN 38068-1220
Phone (901) 465-7256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060502000433 TN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0749290963 Practice locations: Somerville, TN

National Provider Directory

National Provider Directory

Locations

135 W Main St
Adamsville, TN 38310
Phone (731) 632-3373

1004 Greystone Sq
Jackson, TN 38305
Phone (731) 664-1773

7514 Corporate Center Dr
Ste 100
Memphis, TN 38138
Phone (901) 755-5333

1440 Pickwick St
Savannah, TN 38372
Phone (731) 438-3456

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 61

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073569901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 WOODBRIDGE RD",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380681220",
            "telephone_number": "901-465-7256",
            "fax_number": "901-753-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 WOODBRIDGE RD",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380681220",
            "telephone_number": "901-465-7256",
            "fax_number": "901-753-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL IMAGING OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-465-7256",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.