Advanced Diagnostic Imaging PC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Smyrna, TN
NPI 1821592841 · NPPES record last updated Mar 23, 2018
Key facts
- NPI
- 1821592841
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ADVANCED DIAGNOSTIC IMAGING PC
- Practice address
- 300 Stonecrest Blvd Ste 230
Smyrna, TN 37167-6800 - Phone
- (615) 730-8626
- Fax
- (615) 840-6169
- NPI assigned
- Mar 23, 2018
- Organization subpart
- No
Authorized official
- Name
- Susan Fenton
- Title
- DO
- Phone
- (615) 851-6033
Corporate family (same tax ID) 20
Practitioners 1
-
Melissa G Reynolds, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180807003512 | TN | DME Supplier - Multi-Specialty - Physician | 7315848140 | Practice locations: Smyrna, TN |
National Provider Directory
- Tax ID family
- Advancd Diagnostic Imaging PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
300 Stonecrest Blvd Ste 230
Smyrna, TN 37167-6800
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033
Other names
- Spine & Orthopedic Solutions
Other providers in Smyrna, TN
- Adams Transportation TN LCC
- Austin Anthony Adams
- Lydia Poe Adams
- Ciana Adkins
- Advanced Diagnostic Imaging PC
- Advanced Diagnostic Imaging, PC
- Advanced Diagnostic Imaging, PC
- Advanced Diagnostic Imaging, PC
- Advanced Foot & Ankle Care Centers
- Afc Physicians of Tennessee, PC
All providers in Smyrna, TN · Durable Medical Equipment & Medical Supplies in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.