Premier Diagnostic Imaging, Llc
LBN: Premier Diagnostic Imaging, Llc
Premier Diagnostic Imaging, Llc is an health care organization with primary practice located at 315 N Washington Ave Suite 103, Cookeville TN 38501-2603. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Premier Diagnostic Imaging, Llc can be contacted via phone (931) 528-1800, or through Humphrey, William M via phone (931) 528-2443.
Contact Information
Primary practice address
315 N Washington Ave Suite 103
Cookeville TN 38501-2603
Phone: (931) 528-1800
Fax: (931) 528-2443
Website:
Authorized official contact:
Name: Humphrey, William M Doctor of Medicine (MD)
Phone: (931) 528-2443
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD6278 | Tennessee |
Profile Details
| NPI number | 1730130345 |
|---|---|
| LBN Legal business name | Premier Diagnostic Imaging, Llc |
| DBA Doing business as | |
| Authorized official | Humphrey, William M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Sep 17th, 2020 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730130345 | NPPES |
| Tennessee | MEDICAID | 3193998 | |
| Tennessee | MEDICAID | 3029804 | |
| Tennessee | MEDICAID | 3193466 | |
| Tennessee | MEDICAID | 3037577 | |
| Tennessee | Other | 3134538 | |
| Tennessee | Other | 3134539 | |
| Tennessee | Other | 3156107 | |
| Tennessee | Other | 3134540 | |
| Tennessee | MEDICAID | 3035368 | |
| Tennessee | Other | 3134541 |
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