Advanced Diagnostic Imaging PC
Organization Active NPI Prosthetic/Orthotic Supplier · Gallatin, TN
NPI 1114304664 · NPPES record last updated May 5, 2015
Key facts
- NPI
- 1114304664
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- ADVANCED DIAGNOSTIC IMAGING PC
- Practice address
- 570 Hartsville Pike
Gallatin, TN 37066-2450 - Phone
- (615) 452-3320
- Fax
- (615) 452-2668
- NPI assigned
- May 5, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Chad L Calendine
- Title
- President
- Phone
- (615) 851-6033
Corporate family (same tax ID) 18
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 |
|---|---|---|---|---|
| O20150806012287 | TN | DME Supplier - Multi-Specialty - Physician | 7315848140 | Practice locations: Gallatin, TN |
National Provider Directory
- Tax ID family
- Advancd Diagnostic Imaging PC
Locations
570 Hartsville Pike
Gallatin, TN 37066
Phone (615) 444-0554
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
570 Hartsville Pike
Gallatin, TN 37066-2450
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033
Other providers in Gallatin, TN
- Cynthia Adair
- Kimberly Adair
- Jason Andrew Adams
- Saurav Adhikari
- Kim Adkins Threet
- Advanced Diagnostic Imaging PC
- Advanced Diagnostic Imaging, PC
- Advanced Sleep Diagnostics, Inc.
- Advantagepoint Health Alliance - Tennessee Valley, LLC
- Agilitas USA, Inc
All providers in Gallatin, TN · Prosthetic/Orthotic Supplier in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2015. 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.