Organization · NPI-2
Advanced Diagnostic Imaging PC
Prosthetic/Orthotic Supplier · Gallatin, TN
NPI number1114304664
StatusActive
Last updated in NPPESMay 5, 2015
Details
- NPI
- 1114304664
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Diagnostic Imaging PC
- Organization subpart
- No
- Enumeration date
- May 5, 2015
- Last updated
- May 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
570 Hartsville PikeGallatin, TN 37066-2450
Phone 615-452-3320 · Fax 615-452-2668
Mailing address
3024 Business Park CirGoodlettsville, TN 37072-3132
Phone 615-851-6033 · Fax 615-851-2018
Authorized official
Chad L Calendine
President
6158516033
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