Jackson Radiology Associates Pa

LBN: Jackson Radiology Associates Pa
Jackson Radiology Associates Pa is an health care organization with primary practice located at 620 Skyline Dr , Jackson TN 38301-3901. The organization recently has 11 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Radiological Physics, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Jackson Radiology Associates Pa can be contacted via phone (731) 541-6174, or through Bruno, Gregory via phone (731) 541-6174.

Contact Information

Primary practice address
620 Skyline Dr Jackson TN 38301-3901
Phone: (731) 541-6174
Fax: (731) 425-6274
Website:
Map and Directions
Authorized official contact:
Name: Bruno, Gregory Doctor of Medicine (MD)
Phone: (731) 541-6174

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Allopathic & Osteopathic Physicians / Radiological Physics 2085R0205X
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1699700716
LBN Legal business name Jackson Radiology Associates Pa
DBA Doing business as
Authorized official Bruno, Gregory Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Mar 11th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699700716 NPPES
Tennessee MEDICAID 3729238
Tennessee Other 315752
Tennessee Other CG710B
Tennessee Other CG753Z
Tennessee Other DD9799
Tennessee Other CG710C

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