Organization Active NPI

Allied Imaging LLC

  • Diagnostic Radiology Physician
  • Estill Springs, TN
National Provider Identifier
1285815100
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ALLIED IMAGING LLC
Practice address
5833 Aedc Rd
Estill Springs, TN 37330-3915
Phone
(931) 392-4169
NPI assigned
Nov 20, 2007
Last updated
May 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Bryan Williams
Title
Owner
Phone
(931) 607-9373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

5833 Aedc Rd
Estill Springs, TN 37330-3915

Mailing address

5833 Aedc Rd
Estill Springs, TN 37330-3915
Phone (931) 962-8700

Other identifiers 1

IdentifierTypeStateIssuer
1513643MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090522000411 TN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5698824548 Practice locations: Estill Springs, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1285815100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 AEDC RD",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "373303915",
            "telephone_number": "931-962-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 AEDC RD",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "373303915",
            "telephone_number": "931-392-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-607-9373"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513643",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estill Springs, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.