Organization · NPI-2

Advanced Diagnostic Imaging, PC

Durable Medical Equipment & Medical Supplies · Murfreesboro, TN

NPI number1619574589
StatusActive
Last updated in NPPESOct 5, 2020

Details

NPI
1619574589
Entity type
Organization (NPI-2)
Legal business name
Advanced Diagnostic Imaging, PC
Organization subpart
Yes
Enumeration date
Oct 5, 2020
Certification date
Sep 30, 2020
Last updated
Oct 5, 2020

Taxonomy and licenses

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

Other names

  • Williams Foot Center (Doing Business As)

Practice location

1725 Medical Center Pkwy Ste 110
Murfreesboro, TN 37129-2594

Phone 615-494-1234

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132

Authorized official

Susan Fenton
Credentialing Supervisor
6158516033

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