Greater Jacksonville Lithotripsy Services LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

GREATER JACKSONVILLE LITHOTRIPSY SERVICES LLC

Practice address

7003 Chadwick Dr
Ste 321
Brentwood, TN 37027-5232

Phone

(615) 370-3366

Fax

(615) 371-1887

NPI assigned

Jul 9, 2013

Organization subpart

No

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

Authorized official

Name

Dan Bedell

Title

Dir of Operations

Phone

(615) 370-3366

Specialties & licenses 1

Addresses

Other names 1

• LSGJ Doing business as

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1497196208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 CHADWICK DR",
            "address_2": "STE 321",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275232",
            "telephone_number": "615-370-3366",
            "fax_number": "615-371-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 CHADWICK DR",
            "address_2": "STE 321",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275232",
            "telephone_number": "615-370-3366",
            "fax_number": "615-371-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER JACKSONVILLE LITHOTRIPSY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "BEDELL",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIR OF OPERATIONS",
        "authorized_official_telephone_number": "615-370-3366"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSGJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Gray
• Cilicia Symone Gray
• Paul Eugene Gray, M.ED.
• Sarah Gray
• Erin Grayson, MS, RD, LDN
• Green Well Medical Supply LLC
• Ailie Green, LCSW
• Courtni Shynelle Green
• Cathy Jo Greene, FNP
• Kasera Greene

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.