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MEMPHIS RADIOLOGICAL PC NPI 1457350514


NPI Information

NPI: 1457350514
Provider Name: MEMPHIS RADIOLOGICAL, PC

Doing Business As: P.E.T. IMAGING CENTER

Classification: Radiology - 2085N0904X
Entity Type: Organization

Specialization: Nuclear Radiology

Address:
1388 MADISON AVE
MEMPHIS, TN
ZIP 38104
Phone: (901) 276-6413
Get Directions

MEMPHIS RADIOLOGICAL, PC is a nuclear radiology radiology in Memphis, TN. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. MEMPHIS RADIOLOGICAL, PC NPI is 1457350514. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As P.e.t. Imaging Center.

The provider's business location address is:

1388 MADISON AVE
MEMPHIS, TN
ZIP 38104-327
Phone: (901) 276-6413

The provider's authorized official is Richard M Fleming .
The authorized official title is Managing Director and has the following contact phone number (901) 685-2696.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0904XRadiologyNuclear RadiologyTENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13370136MEDICAIDTENNESSEE

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

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