Organization
RADIOGRAPHICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN LEE JOHNSON R.T. (VICE PRESIDENT)
(901) 382-4175
Entity
Organization
Contact information
Practice address
2135 HILLSHIRE CIR, MEMPHIS, TN 38133-6074
(901) 382-4175
(901) 382-2929
Mailing address
2135 HILLSHIRE CIR, MEMPHIS, TN 38133-6074
(901) 382-4175
(901) 382-2929
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09879015
—
MS
05
—
167592710
—
AR
01
—
19810
BCBS
AR
05
—
3400835
—
TN
01
—
4073480
BCBS
TN
01
—
P00124998
RAILROAD MEDICARE
TN
Enumeration date
01/30/2007
Last updated
01/22/2013
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