Organization
ADVANCED DIAGNOSTIC IMAGING, PC
Active
Other names
Advanced Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FENTON (AUTHORIZED OFFICIAL)
(615) 851-6033
Entity
Organization
Contact information
Practice address
28 WHITE BRIDGE RD STE 207, NASHVILLE, TN 37205-1499
(615) 467-4636
(615) 296-9923
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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