NPIMap

Organization Active NPI

Memphis Radiological, P.C.

Doing business as Diagnostic Imaging, PC

  • Diagnostic Radiology Physician
  • Memphis, TN
National Provider Identifier
1720701543
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MEMPHIS RADIOLOGICAL, P.C.
Doing business as
Diagnostic Imaging, PC
Practice address
6401 Poplar Ave Ste 100
Memphis, TN 38119-4840
Phone
(901) 387-2340
NPI assigned
Sep 26, 2022
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMPHIS RADIOLOGICAL, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Kim Asher
Title
Coo
Phone
(901) 685-2696

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU

Addresses

Primary practice location

6401 Poplar Ave Ste 100
Memphis, TN 38119-4840

Mailing address

P O Box 1000 Dept 24
Memphis, TN 38148-0001
Phone (901) 685-2696

Other names 1

  • DIAGNOSTIC IMAGING, PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812000211 TN Part B Supplier - Clinic/Group Practice 1557333226 Receives reassigned benefits from 57 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Savannah, TN; Germantown, TN; Munford, TN; Memphis, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1079366Memphis Radiological PC6401 Poplar Ave, Suite 100, Memphis, TN 38119Certificate of waiverJan 29, 2028

National Provider Directory

National Provider Directory
Tax ID family
Memphis Radiological PC2 organizations share this tax ID, including this one
Part of
Memphis Radiological PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5480 Goodman Rd
Olive Branch, MS 38654
Phone (662) 893-9800

7800 Wolf Trail Cv
Germantown, TN 38138
Phone (901) 682-9222

1801 Union Ave
Memphis, TN 38104
Phone (901) 516-6792

3950 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5766

7695 Poplar Pike
Ste 101
Memphis, TN 38138

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 68

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.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1720701543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1000 DEPT 24",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-685-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194840",
            "telephone_number": "901-387-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS RADIOLOGICAL, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMPHIS RADIOLOGICAL, P.C.",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "ASHER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "901-685-2696"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIAGNOSTIC IMAGING, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.