Healthcare Provider Details

I. General information

NPI: 1144687815
Provider Name (Legal Business Name): ADVANCED DIAGNOSTIC IMAGING, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2016
Last Update Date: 03/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 HAYES ST STE 700
NASHVILLE TN
37203-2646
US

IV. Provider business mailing address

3024 BUSINESS PARK CIR
GOODLETTSVILLE TN
37072-3132
US

V. Phone/Fax

Practice location:
  • Phone: 615-284-5800
  • Fax: 615-284-5819
Mailing address:
  • Phone: 615-851-6033
  • Fax: 615-851-2018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number17901
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number17901
License Number StateTN

VIII. Authorized Official

Name: DR. CHAD L. CALENDINE
Title or Position: PRESIDENT
Credential: MD
Phone: 615-851-6033