Organization
ADVANCD DIAGNOSTIC IMAGING, PC
Active
Parent organization
ADVANCD DIAGNOSTIC IMAGING, PC
Other names
Covenant Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCD DIAGNOSTIC IMAGING, PC
Authorized official
SUSAN FENTON (CREDENTIALING SUPERVISOR)
(615) 851-6033
Entity
Organization
Contact information
Practice address
200 CREEKSIDE DR, DICKSON, TN 37055-2176
(615) 851-6033
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3372986
—
TN
Enumeration date
10/24/2018
Last updated
10/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us