Leonard L Clark, R.T.

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

188302 Issued in TN

Practice address

405 Glenpark Dr
Nashville, TN 37217-2405

Phone

(615) 399-1788

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518082999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 GLENPARK DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172405",
            "telephone_number": "615-399-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 GLENPARK DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172405",
            "telephone_number": "615-399-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LEONARD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "R.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "TN",
            "license": "188302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Clark, DO
• Jillian Clark, PA
• Julia Clark, RN
• Kiwanna Nishae Clark, FNP
• Leland Emery Clark
• Madison Blume Clark, PA-C
• Nathaniel Clark, M.D.
• Nichole Lynn Clark
• Patricia Ann Clark, APRN, FNP-C
• Rebecca Clark, CST

• Magnetic Resonance Imaging Radiologic Technologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.