Organization Active NPI

Theratech Holdings

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Nashville, TN
National Provider Identifier
1740497593
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
THERATECH HOLDINGS
Practice address
40 Burton Hills Blvd
Suite 320
Nashville, TN 37215-6155
Phone
(615) 665-8220
Fax
(615) 665-8228
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David G McClellan
Title
Member
Phone
(615) 665-8220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X WA Primary

Addresses

Primary practice location

40 Burton Hills Blvd
Suite 320
Nashville, TN 37215-6155

Mailing address

40 Burton Hills Blvd
Suite 320
Nashville, TN 37215-6155
Phone (615) 665-8220

Other identifiers 2

IdentifierTypeStateIssuer
7129885MedicaidWA
P00289319OtherWARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

40 Burton Hills Blvd
Ste 320
Nashville, TN 37215
Phone (615) 665-8220

40 Burton Hills Blvd
#320
Nashville, TN 37215

1519 3rd St SE
Puyallup, WA 98372
Phone (253) 841-0851

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740497593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD",
            "address_2": "SUITE 320",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156155",
            "telephone_number": "615-665-8220",
            "fax_number": "615-665-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD",
            "address_2": "SUITE 320",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156155",
            "telephone_number": "615-665-8220",
            "fax_number": "615-665-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERATECH HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "615-665-8220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7129885",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00289319",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.