ADVANCED DIAGNOSTIC IMAGING PC (NPI# 1710360706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710360706 |
| Entity Type | Organization |
| Organization Name | ADVANCED DIAGNOSTIC IMAGING PC |
| Practice Address |
980 Professional Park Dr Suite A Clarksville TN 37040-5251 |
| Mailing Address |
3024 Business Park Cir Goodlettsville TN 37072-3132 |
| Practice Telephone | 9319051001 |
| Practice Fax Number | 9319050410 |
| Mailing Telephone | 6158516033 |
| Mailing Fax Number | 6158512018 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | DR. CHAD CALENDINE (CEO) |
| Authorized Official Telephone | 6158516033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623638 | Advanced Diagnostic Imaging PC | Podiatrist | 179 Hancock St Ste 300, Gallatin, TN 37066-6347 | 2020-03-12 |
| 1235278961 | Advanced Diagnostic Imaging PC | Radiology | 328 N 2nd St Ste 101, Vincennes, IN 47591-1353 | 2007-02-06 |
| 1275672800 | Advanced Diagnostic Imaging PC | Radiology | 319 N Saint Joseph Ave, Evansville, IN 47712-5562 | 2007-02-06 |
| 1881198802 | Advanced Diagnostic Imaging PC | Durable Medical Equipment & Medical Supplies | 300 20th Ave N Ste 103, Nashville, TN 37203-2132 | 2018-03-23 |
| 1821592841 | Advanced Diagnostic Imaging PC | Durable Medical Equipment & Medical Supplies | 300 Stonecrest Blvd Ste 230, Smyrna, TN 37167-6800 | 2018-03-23 |
| 1639673965 | Advanced Diagnostic Imaging PC | Prosthetic/Orthotic Supplier | 204 Medical Dr, Lafayette, TN 37083-1719 | 2018-03-21 |
| 1811350135 | Advanced Diagnostic Imaging PC | Pharmacy | 28 White Bridge Rd, Ste. 211a, Nashville, TN 37205-1499 | 2016-04-04 |
| 1528438975 | Advanced Diagnostic Imaging PC | Prosthetic/Orthotic Supplier | 739 President Pl, Suite 220, Smyrna, TN 37167-6844 | 2015-09-29 |
| 1457721821 | Advanced Diagnostic Imaging PC | Prosthetic/Orthotic Supplier | 393 Wallace Rd, Suite A-204, Nashville, TN 37211-4880 | 2015-09-29 |
| 1497125850 | Advanced Diagnostic Imaging PC | Prosthetic/Orthotic Supplier | 1608 Williams Dr, Suite 300, Murfreesboro, TN 37129-3194 | 2015-09-29 |
| Street Address |
980 PROFESSIONAL PARK DR SUITE A |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879782 | Kristina Renae Greene | Physician Assistant | 980 Professional Park Dr, Suite A, Clarksville, TN 37040-5251 | 2005-05-23 |
| 1780123679 | Middle Tennessee Imaging, LLC | Clinic/Center | 980 Professional Park Dr, Suite E, Clarksville, TN 37040-5251 | 2017-02-13 |
| 1326407024 | Amelia Wilson | Physical Therapist | 980 Professional Park Dr, Clarksville, TN 37040-5251 | 2016-02-23 |
| 1013373141 | Inessa Pavlovna Chernish | Physician Assistant | 980 Professional Park Dr, Suite A, Clarksville, TN 37040-5251 | 2016-01-05 |
| 1053789149 | Rebecca D Derby | Nurse Practitioner | 980 Professional Park Dr, Ste. C, Clarksville, TN 37040-5251 | 2015-09-08 |
| 1831597806 | Middle Tennessee Imaging, LLC | Clinic/Center | 980 Professional Park Dr, Suite E, Clarksville, TN 37040-5251 | 2014-12-08 |
| 1114320108 | Pain Md LLC | Durable Medical Equipment & Medical Supplies | 980 Professional Park Dr, Ste. C, Clarksville, TN 37040-5251 | 2014-10-03 |
| 1174937320 | Daisy Tambe | Nurse Anesthetist, Certified Registered | 980 Professional Park Dr, Ste C, Clarksville, TN 37040-5251 | 2014-06-16 |
| 1447594486 | Amanda Jean Fryer | Nurse Practitioner | 980 Professional Park Dr, Ste. C, Clarksville, TN 37040-5251 | 2012-11-15 |
| 1316200454 | Charity Elizabeth Winters | Physical Therapist | 980 Professional Park Dr, Suite D, Clarksville, TN 37040-5251 | 2012-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548791668 | Restorative Health Services, Inc. | Prosthetic/Orthotic Supplier | 346 Warfield Blvd, Ste. B, Clarksville, TN 37043-5697 | 2017-03-21 |
| 1902157704 | Joseph Rieger | Prosthetic/Orthotic Supplier | 237 Dover Rd, Clarksville, TN 37042-4155 | 2012-09-20 |
| 1790058832 | Teresas Perfect Fit | Prosthetic/Orthotic Supplier | 3375 Highway 41a S, Clarksville, TN 37043-6244 | 2012-02-21 |
| 1801039102 | Cook's Orthopedics, Inc | Prosthetic/Orthotic Supplier | 741 Madison St, Suite A, Clarksville, TN 37040-4652 | 2009-04-16 |
| 1134332059 | Bulow Biotech Prosthetics, LLC | Prosthetic/Orthotic Supplier | 705 N 2nd St, Suite A, Clarksville, TN 37040-1917 | 2007-05-07 |
| 1629195946 | Mach Services | Prosthetic/Orthotic Supplier | 5931 Gentle Call, Clarksville, MD 21029-1233 | 2007-03-23 |
| 1649898818 | Markeisha Laquita Wardell | Prosthetic/Orthotic Supplier | 1502 Tiny Town Rd, Clarksville, TN 37042-8087 | 2020-07-13 |
| 1396287686 | A Step Ahead Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 237 Dover Rd, Clarksville, TN 37042-4155 | 2016-11-17 |
| 1285009910 | A Step Ahead, LLC | Prosthetic/Orthotic Supplier | 237 Dover Rd, Clarksville, TN 37042-4155 | 2015-12-07 |
| 1891769717 | Cape Prosthetics-orthotics Inc | Prosthetic/Orthotic Supplier | 1754 Madison St, Suite 2, Clarksville, TN 37043-2923 | 2006-02-15 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.