Organization
PREMIER DIAGNOSTIC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M HUMPHREY MD (PROVIDER/PRESIDENT)
(931) 528-2443
Entity
Organization
Contact information
Practice address
315 N WASHINGTON AVE, SUITE 103, COOKEVILLE, TN 38501-2603
(931) 528-1800
(931) 528-2443
Mailing address
PO BOX 1502, COOKEVILLE, TN 38503-1502
(931) 528-1800
(931) 528-1488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD6278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3029804
—
TN
05
—
3035368
—
TN
05
—
3037577
—
TN
01
—
3134538
TN BCBS
TN
01
—
3134539
TN BCBS
TN
01
—
3134540
TN BCBS
TN
01
—
3134541
TN BCBS
TN
01
—
3156107
TN BCBS
TN
05
—
3193466
—
TN
05
—
3193998
—
TN
Enumeration date
05/16/2006
Last updated
09/17/2020
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