Organization
ADVANCED DIAGNOSTIC IMAGING, PC
Active
Other names
Pinnacle Surgical Partners
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FENTON (MULTISPECIALTY CREDENTIALING SUPERV)
(615) 851-6033
Entity
Organization
Contact information
Practice address
5651 FRIST BLVD STE 400, HERMITAGE, TN 37076-2058
(615) 467-4633
(615) 884-0009
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 296-9945
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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