MEDICARE: ADVANCED DIAGNOSTIC IMAGING, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1285075812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED DIAGNOSTIC IMAGING, PC

Provider Business Mailing Address
First Line	:	3024 BUSINESS PARK CIR
Second Line	:
City	:	GOODLETTSVILLE
State	:	TN
Zip	:	37072-3132
Country	:	US
Telephone Number	:	615-851-6033
Fax Number	:	615-851-2018

Provider Business Practice Location Address
First Line	:	5073 MAIN ST
Second Line	:	STE 140
City	:	SPRING HILL
State	:	TN
Zip	:	37174-2737
Country	:	US
Telephone Number	:	615-861-4444
Fax Number	:	615-861-4451

Authorized Official
Title or Position	:	PRESIDENT OF GROUP
Name	:	DR. CHAD LOGAN CALENDINE
Credential	:	MD
Telephone Number	:	615-851-6033

Provider Enumeration Date	:	07/11/2013
Last Update Date	:	07/11/2013

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