Healthcare Provider Details

I. General information

NPI: 1750387635
Provider Name (Legal Business Name): TENNESSEE ADVANCED NEURODIAGNOSTIC INSTITUTE, INC. (TANII)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4525 HARDING RD STE 102
NASHVILLE TN
37205-2145
US

IV. Provider business mailing address

PO BOX 601449
DALLAS TX
75360-1449
US

V. Phone/Fax

Practice location:
  • Phone: 615-463-3034
  • Fax: 615-463-3187
Mailing address:
  • Phone: 214-368-9966
  • Fax: 214-368-9977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS DRIBER
Title or Position: PRESIDENT/ CHIEF EXECUTIVE OFFICER
Credential: PH.D
Phone: 615-463-3034