Active NPI
Medical Imaging Consultants, PC
- Diagnostic Radiology Physician
- Tullahoma, TN
National Provider Identifier
1801873708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MEDICAL IMAGING CONSULTANTS, PC
- Practice address
- 1801 N Jackson St
Tullahoma, TN 37388-2201 - Phone
- (931) 393-7984
- NPI assigned
- Dec 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joel Birdwell, MD
- Title
- President
- Phone
- (931) 393-7984
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1801 N Jackson St
Tullahoma, TN 37388-2201
Mailing address
4300 N Access Rd
Suite D
Chattanooga, TN 37415-3812
Phone (423) 826-1276
National Provider Directory
National Provider DirectoryLocations
4300 N Access Rd
Ste D
Chattanooga, TN 37415
Phone (423) 826-1276
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317340800000",
"number": "1801873708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 N ACCESS RD",
"address_2": "SUITE D",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374153812",
"telephone_number": "423-826-1276",
"fax_number": "423-826-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N JACKSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882201",
"telephone_number": "931-393-7984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL IMAGING CONSULTANTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-30",
"last_updated": "2011-09-30",
"status": "A",
"authorized_official_last_name": "BIRDWELL",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "931-393-7984",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.