Organization
ADVANCED DIAGNOSTIC IMAGING, PC
Active
Other names
Orthopaedic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FENTON (CREDENTIALING SUPERVISOR)
(615) 851-6033
Entity
Organization
Contact information
Practice address
1912 CHARLOTTE AVE, NASHVILLE, TN 37203-2107
(615) 590-8000
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/10/2018
Last updated
10/15/2018
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