CENTRAL MEMPHIS REGIONAL PET IMAGING CENTER, LLC (NPI# 1295719110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295719110 |
| Entity Type | Organization |
| Organization Name | CENTRAL MEMPHIS REGIONAL PET IMAGING CENTER, LLC |
| Practice Address |
1388 Madison Ave Memphis TN 38104-2327 |
| Mailing Address |
Po Box 2121 Memphis TN 38159-0001 |
| Practice Telephone | 9012766413 |
| Practice Fax Number | 9012763838 |
| Mailing Telephone | 9012766413 |
| Mailing Fax Number | 9012763838 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK GABRIEL (PRINCIPAL) |
| Authorized Official Telephone | 3176342222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
NA | TN | Ambulatory Health Care Facilities |
| Street Address |
1388 MADISON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457350514 | Memphis Radiological, PC | Radiology | 1388 Madison Ave, Memphis, TN 38104-2327 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225259518 | C and D Associates | Clinic/Center | 795 Ridge Lake Blvd Ste 107, Memphis, TN 38120-9475 | 2007-05-02 |
| 1770002453 | Seec Recruiting LLC | Clinic/Center | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2017-09-14 |
| 1447497995 | Chiropractic Digital Solutions | Clinic/Center | 3675 Summer Ave, Memphis, TN 38122-3742 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877373 | Choice Imaging LLC | Clinic/Center | 220 Veterans Pkwy Ste E, Murfreesboro, TN 37128-6436 | 2019-02-11 |
| 1932686318 | Middle Tennessee Imaging, LLC | Clinic/Center | 5700 Temple Rd Ste 102, Nashville, TN 37221-4171 | 2018-07-27 |
| 1972025989 | Middle Tennessee Imaging, LLC | Clinic/Center | 6130 Nolensville Rd Ste 102, Nashville, TN 37211-6813 | 2017-07-11 |
| 1316305089 | Middle Tennessee Imaging, LLC | Clinic/Center | 3754 Murfreesboro Pike Ste 102, Antioch, TN 37013-3878 | 2016-02-09 |
| 1831434687 | Rhc Imaging Center | Clinic/Center | 6590 Summer Knoll Cv, Suite 102, Bartlett, TN 38134-2885 | 2012-12-05 |
| 1043470933 | Vascular and Interventional Radiology Clinic of Jackson | Clinic/Center | 300 Coatsland Dr, Jackson, TN 38301-3908 | 2008-06-13 |
| 1386832368 | Lifescan Tennessee, LLC | Clinic/Center | 830 Suncrest Dr, Unit 2, Gray, TN 37615-3424 | 2007-10-04 |
| 1528193943 | Bristol Imaging Center, LLC. | Clinic/Center | 1230 Volunteer Pkwy, Bristol, TN 37620-4628 | 2007-02-23 |
| 1518034743 | Elite Ultrasound Imaging, LLC | Clinic/Center | 1033 East Old Hickory Blvd, Madison, TN 37115 | 2006-11-30 |
| 1255358925 | Diagnostic Outpatient Center, Inc. | Clinic/Center | 428 E Bell St, Murfreesboro, TN 37130-2408 | 2006-07-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTRAL MEMPHIS REGIONAL PET IMAGING CENTER, LLC.
| 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.