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General NPI Number Information
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NPI Number | 1598698532
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Entity Type | Organization
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Legal Business Name | INNOVATIVE DIAGNOSTIC SOLUTIONS
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 3225 KIRBY WHITTEN RD
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City | BARTLETT
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State | TN
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Zip | 38134-2893
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Country | US
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Telephone | 901-640-3982
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 KIRBY WHITTEN RD
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City | BARTLETT
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State | TN
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Zip | 38134-2893
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Country | US
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Telephone | 901-640-3982
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LUIS ENRIQUE SUAREZ
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Credential |
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Telephone | 901-584-2944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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