Advanced Diagnostic Imaging, PC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Clarksville, TN
NPI 1114705563 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1114705563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ADVANCED DIAGNOSTIC IMAGING, PC
- Practice address
- 1762 Memorial Dr
Clarksville, TN 37043-4562 - Phone
- (615) 220-8788
- Fax
- (615) 220-8688
- NPI assigned
- Sep 18, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVANCED DIAGNOSTIC IMAGING, PC
Authorized official
- Name
- Chad Logan Calendine
- Title
- Ceo
- Phone
- (615) 239-2018
Corporate family (same tax ID) 20
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 |
|---|---|---|---|---|
| O20231130002319 | TN | DME Supplier - Physician - Podiatry | 7315848140 | Practice locations: Clarksville, TN |
National Provider Directory
- Tax ID family
- Advancd Diagnostic Imaging PC
- Part of
- Advancd Diagnostic Imaging PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
1762 Memorial Dr
Clarksville, TN 37043-4562
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018
Other names
- Neuhaus Foot & Ankle
Other providers in Clarksville, TN
- Brian A Adrian
- Advance Care Medical PCP Tennessee
- Advance Care Medical Tennessee, Inc.
- Advanced Behavior Consultants
- Advanced Diagnostic Imaging PC
- Advanced Diagnostic Imaging, PC
- Advanced Diagnostic Imaging, PC
- Advanced Hearing Aid Group, LLC
- Advanced Physical Therapy & Rehab Services Inc
- Advanced Sleep Diagnostics, Inc.
All providers in Clarksville, 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 Sep 18, 2023. 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.