Organization
DIAGNOSTIC IMAGING PC
Active
Organization
DIAGNOSTIC IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE COKER (MANAGER)
(901) 387-2340
Entity
Organization
Contact information
Practice address
6401 POPLAR AVE, SUITE 100, MEMPHIS, TN 38119-4823
(901) 387-2340
(901) 680-1902
Mailing address
6401 POPLAR AVE, SUITE 100, MEMPHIS, TN 38119-4823
(901) 387-2340
(901) 680-1902
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003258
BLUE CROSS BLUE SHIELD TENNESSEE
TN
05
—
3388367
—
TN
Enumeration date
05/10/2006
Last updated
06/16/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up