Clinical Radiologists, PLLC

Key facts

NPI: 1376792804
Entity type: Organization (NPI type 2)
Primary specialty: Diagnostic Radiology Physician 2085R0202X
License: MD0000009586 (TN)
Legal business name: CLINICAL RADIOLOGISTS, PLLC
Practice address: 631 R.B. Wilson Dr
Huntingdon, TN 38344
Phone: (800) 274-7777
Fax: (901) 753-2896
NPI assigned: Sep 9, 2008
Organization subpart: No

Authorized official

Name: Mr. Ben Cheatham
Title: Manager
Phone: (800) 274-7777

Practitioners 1

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

Trent Wade Borders, MD Diagnostic Radiology Physician · McKenzie, TN · NPI 1407996762

NPD (past) DIAGNOSTIC RADIOLOGY

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Diagnostic Radiology Physician Group: 193400000X SINGLE SPECIALTY GROUP	2085R0202X	MD0000009586	TN	Yes

Addresses

Primary practice location

631 R.B. Wilson Dr
Huntingdon, TN 38344

Mailing address

PO Box 1000 Dept 543
Memphis, TN 38148-0001
Phone (800) 274-7777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2008.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1376792804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 543",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "800-274-7777",
            "fax_number": "901-759-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 R.B. WILSON DR",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "38344",
            "telephone_number": "800-274-7777",
            "fax_number": "901-753-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL RADIOLOGISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "CHEATHAM",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-274-7777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD0000009586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, TN

All providers in Huntingdon, TN · Diagnostic Radiology Physician 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 9, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.