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Organization
REGIONAL DIAGNOSTIC SERVICES INC
Active
Organization
REGIONAL DIAGNOSTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL S JOHNSON CNMT (OWNER/PRESIDENT)
(615) 347-9347
Entity
Organization
Contact information
Practice address
314 BLUEBIRD DR, GOODLETTSVILLE, TN 37072-2304
(615) 347-9347
Mailing address
PO BOX 59, GALLATIN, TN 37066-0059
(615) 451-4511
(615) 230-8585
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3081506
BCBS
TN
05
—
3790335
—
TN
Enumeration date
06/01/2006
Last updated
03/29/2018
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