PREMIER DIAGNOSTIC IMAGING LLC NPI 1730130345

NPI Information

PREMIER DIAGNOSTIC IMAGING, LLC is a specialist in Cookeville, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PREMIER DIAGNOSTIC IMAGING, LLC NPI is 1730130345. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

315 N WASHINGTON AVE
SUITE 103
COOKEVILLE, TN
ZIP 38501-603
Phone: (931) 528-1800
Fax: (931) 528-2443

The provider's authorized official is William M Humphrey .
The authorized official title is Provider/president and has the following contact phone number (931) 528-2443.

The CLIA number assigned to this NPI record is 44D1066699 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 9/17/2020.

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:

Other Identifiers

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

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