Organization · NPI-2

Advanced Diagnostic Imaging, PC

Durable Medical Equipment & Medical Supplies · Gallatin, TN

NPI number1164096111
StatusActive
Last updated in NPPESMay 14, 2021

Details

NPI
1164096111
Entity type
Organization (NPI-2)
Legal business name
Advanced Diagnostic Imaging, PC
Organization subpart
No
Enumeration date
May 14, 2021
Certification date
May 5, 2021
Last updated
May 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Other names

  • Nashville Podiatry (Doing Business As)

Practice location

336 Sumner Hall Dr
Gallatin, TN 37066-3129

Phone 615-452-8899 · Fax 615-452-8919

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132

Phone 615-239-2018 · Fax 615-851-2018

Authorized official

Susan Fenton
Credentialing Manager
6152392018

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