Organization
ADVANCED DIAGNOSTIC IMAGING, PC
Active
Other names
Spine & Orthopedic Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FENTON (CREDENTIALING MANAGER)
(615) 239-2018
Entity
Organization
Contact information
Practice address
1430 W BADDOUR PKWY STE A, LEBANON, TN 37087-2656
(615) 730-8626
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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