# IMAGDENT OF MEMPHIS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427372259
- **Authorized official:** MR. DEBRA NOBLE (VICE PRESIDENT)
- **Authorized official phone:** (901) 758-0330

## Contact information

- **Practice address:** 6800 POPLAR AVE, SUITE 121, MEMPHIS, TN 38138-7450
- **Practice address phone:** (901) 758-0330
- **Practice address fax:** (901) 758-0322
- **Mailing address:** 6800 POPLAR AVE, SUITE 121, MEMPHIS, TN 38138-7450
- **Mailing address phone:** (901) 758-0330
- **Mailing address fax:** (901) 758-0322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471C3401X | Computed Tomography Radiologic Technologist | 109004948 | TN | Yes |

## Other

- **Enumeration date:** 03/23/2010
- **Last updated:** 03/23/2010