ADVANCED DIAGNOSTIC IMAGING PC NPI 1205241189

NPI Information

NPI: 1205241189
Provider Name: ADVANCED DIAGNOSTIC IMAGING PC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1048 ASHLEY ST
SUITE 101
BOWLING GREEN, KY
ZIP 42103
Phone: (615) 885-2778
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ADVANCED DIAGNOSTIC IMAGING PC is a durable medical equipment medical supplies in Bowling Green, KY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ADVANCED DIAGNOSTIC IMAGING PC NPI is 1205241189. The provider is registered as an organization entity type.

The provider's business location address is:

1048 ASHLEY ST
SUITE 101
BOWLING GREEN, KY
ZIP 42103-449
Phone: (615) 885-2778
Fax: (615) 986-6052

The provider's authorized official is Chad L Calendine .
The authorized official title is President and has the following contact phone number (615) 356-3999.

The enumeration date for this NPI number is 6/30/2014 and was last updated on 6/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	335E00000X	Prosthetic/Orthotic Supplier				No
2	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3372986	MEDICARE PIN	TENNESSEE
2	K124960	MEDICARE PIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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