Pdi Health TN LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PDI HEALTH TN LLC

Doing business as

Preventive Diagnostics

Practice address

9005 Overlook Blvd
Brentwood, TN 37027-5269

Phone

(800) 749-9729

NPI assigned

Jul 29, 2019

Organization subpart

No

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

Authorized official

Name

Menachem Tauber

Title

Ceo

Phone

(800) 749-9729

Specialties & licenses 1

Addresses

Other names 1

• Preventive Diagnostics Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Portable X-ray supplier certification: CCN 44X0009845

Legal name

PDI HEALTH TN, LLC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

May 19, 2020

Last certification

May 19, 2020

Ownership / control type

Corporation

Facility address

9005 Overlook Blvd
Brentwood, TN 37027

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1962056887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SPENCER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051891",
            "telephone_number": "800-749-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 OVERLOOK BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275269",
            "telephone_number": "800-749-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDI HEALTH TN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "TAUBER",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-749-9729"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preventive Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oxana Pavlova
• Joan Marian Payne, RDN, LDN
• Kayla Payne
• Rachel Payne
• Pdi Health TN LLC
• Peach & Crane, PLLC
• Ryan N Pearman, M.D.
• Jessica L Pearson, MD
• Robert Victor Peck, PT, DPT
• Pedforall

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.