Organization
BIOIMAGING OF COOL SPRINGS INC
Active
Other names
Park Avenue Diagnistic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
5190 PARK AVE, MEMPHIS, TN 38119-3500
(901) 767-1015
(901) 682-3182
Mailing address
3480 PRESTON RIDGE RD STE 600, CREDENTIALING DEPT, ALPHARETTA, GA 30005-5462
(770) 300-0101
(770) 300-0429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3790905
—
TN
Enumeration date
05/03/2006
Last updated
07/02/2008
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