DIAGNOSTIC IMAGING PC NPI 1699725812

NPI Information

  • NPI: 1699725812
  • Provider Name: DIAGNOSTIC IMAGING PC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 44D1079366
  • Address: 6401 POPLAR AVE
    SUITE 100
    MEMPHIS, TN
    ZIP 38119
  • Phone: (901) 387-2340

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NPI Details

DIAGNOSTIC IMAGING PC is a diagnostic radiology radiology in Memphis, TN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DIAGNOSTIC IMAGING PC NPI is 1699725812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6401 POPLAR AVE
SUITE 100
MEMPHIS, TN
ZIP 38119-823
Phone: (901) 387-2340
Fax: (901) 680-1902

The provider's authorized official is Michelle Coker .
The authorized official title is Manager and has the following contact phone number (901) 387-2340.

The CLIA number assigned to this NPI record is 44D1079366 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 6/16/2010.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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
13388367MEDICAIDTENNESSEE
22003258OTHERTENNESSEEBLUE CROSS BLUE SHIELD TENNESSEE
33388367MEDICARE PINTENNESSEE

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: 3/30/2025

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