Organization
BEDFORD RADIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L WHITE (EXECUTIVE DIRECTOR)
(317) 660-1485
Entity
Organization
Contact information
Practice address
2257 WILMA RUDOLPH BLVD, SUITE D, CLARKSVILLE, TN 37040-6194
(317) 660-1485
(317) 282-0589
Mailing address
250 E CARMEL DR, SUITE A, CARMEL, IN 46032-2635
(317) 660-1485
(317) 282-0589
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3377880
—
TN
Enumeration date
06/15/2006
Last updated
12/02/2016
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