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ADVANCED DIAGNOSTIC IMAGING PC NPI 1417571498


NPI Information

NPI: 1417571498
Provider Name: ADVANCED DIAGNOSTIC IMAGING, PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 44D0690135

Address:
353 NEW SHACKLE ISLAND RD STE 120B
HENDERSONVILLE, TN
ZIP 37075
Phone: (615) 826-0941
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ADVANCED DIAGNOSTIC IMAGING, PC is a podiatrist in Hendersonville, TN. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ADVANCED DIAGNOSTIC IMAGING, PC NPI is 1417571498. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

353 NEW SHACKLE ISLAND RD STE 120B
HENDERSONVILLE, TN
ZIP 37075-329
Phone: (615) 826-0941

The provider's authorized official is Susan Fenton .
The authorized official title is Credentialing Manager and has the following contact phone number (615) 851-6033.

The CLIA number assigned to this NPI record is 44D0690135 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/4/2020 and was last updated on 6/4/2020.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

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: 5/5/2024

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