Twin Lakes Medical Imaging Consultants, P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

014338 Issued in TN

Legal business name

TWIN LAKES MEDICAL IMAGING CONSULTANTS, P.C.

Practice address

315 Oak St
Livingston, TN 38570-1728

Phone

(931) 823-7980

Fax

(931) 823-8377

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Bridget G Coffman

Title

Office Manager

Phone

(931) 823-7980

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1477637767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531D NORTH CHURCH STREET",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "38570",
            "telephone_number": "931-823-7980",
            "fax_number": "931-823-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OAK ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701728",
            "telephone_number": "931-823-7980",
            "fax_number": "931-823-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN LAKES MEDICAL IMAGING CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-823-7980"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "014338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505973",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3193668",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Top Flight Medical Group LLC
• Total Renal Care, Inc.
• Jacqueline Trainer
• Crystal Turner
• Twin Lakes Family Practice PC
• Upper Cumberland Family Dentistry, PC
• Joe Thomas Upton, DDS
• Rachel Melissa Vinlove
• Walgreen Co
• Jason Walker

• Diagnostic Radiology Physician in Livingston, TN
• Providers in Livingston, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.