GREATER JACKSONVILLE LITHOTRIPSY SERVICES LLC (NPI# 1497196208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497196208 |
| Entity Type | Organization |
| Organization Name | GREATER JACKSONVILLE LITHOTRIPSY SERVICES LLC |
| Other Organization Name | LSGJ |
| Practice Address |
7003 Chadwick Dr Ste 321 Brentwood TN 37027-5232 |
| Practice Telephone | 6153703366 |
| Practice Fax Number | 6153711887 |
| Mailing Telephone | 6153703366 |
| Mailing Fax Number | 6153711887 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |
| Authorized Official Name | DAN BEDELL (DIR OF OPERATIONS) |
| Authorized Official Telephone | 6153703366 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| LSGJ | Doing Business As Name - Organization |
| Street Address |
7003 CHADWICK DR STE 321 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-5232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336160985 | Robert E. Sherman | Psychologist | 7003 Chadwick Dr, Suite 247, Brentwood, TN 37027-5232 | 2006-07-21 |
| 1740729169 | Rachel L. Christian | Counselor | 7003 Chadwick Dr, Suite 140, Brentwood, TN 37027-5232 | 2017-02-17 |
| 1720430036 | Stephanie Insko | Psychologist | 7003 Chadwick Dr, Brentwood, TN 37027-5232 | 2016-07-11 |
| 1669885919 | Community Health and Immunization Services | Community Health Worker | 7003 Chadwick Dr, Suite 227b, Brentwood, TN 37027-5232 | 2014-06-04 |
| 1720404858 | Passport Health Holdings, LLC. | Preventive Medicine | 7003 Chadwick Dr, #227, Brentwood, TN 37027 | 2014-03-13 |
| 1457692261 | Christianne Downey, M.a., Lpc/mhsp, Pllc | Counselor | 7003 Chadwick Dr, Suite 290, Brentwood, TN 37027-5232 | 2013-03-05 |
| 1073850285 | Christianne Marie Downey | Counselor | 7003 Chadwick Dr, Suite 290, Brentwood, TN 37027-5232 | 2013-01-08 |
| 1831455948 | Carol K Wood | Counselor | 7003 Chadwick Dr, Ste 290, Brentwood, TN 37027-5232 | 2012-04-03 |
| 1417245838 | Kyle Mason Rigsby | Counselor | 7003 Chadwick Dr, Building One, Suite 258, Brentwood, TN 37027-5232 | 2011-07-19 |
| 1740575927 | Jeff S Morgan | Marriage & Family Therapist | 7003 Chadwick Dr, Ste. 280, Brentwood, TN 37027-5232 | 2011-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538339718 | Osborne Mobile Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3502 Shadewell Ave, Brentwood, PA 15227-2926 | 2008-03-04 |
| 1962056887 | Pdi Health Tn LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9005 Overlook Blvd, Brentwood, TN 37027-5269 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689038440 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 309 N Church Ave, Ste 5, Dyersburg, TN 38024-3013 | 2016-04-07 |
| 1164829347 | Tennessee Mobile Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2874 Elm Hill Pike, Nashville, TN 37214-3718 | 2014-12-03 |
| 1003110271 | Pri X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4040 Mountain Creek Rd, Apartment 1304, Chattanooga, TN 37415-6034 | 2011-01-03 |
| 1316106578 | Professional Ultrasound Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 588 Vann Ln, Manchester, TN 37355-5002 | 2008-06-03 |
| 1225202765 | Hometown Medical Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 635 Highway 51 S, Covington, TN 38019-2427 | 2008-04-16 |
| 1982885190 | Med Lifts LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1700 S Holtzclaw Ave, Chattanooga, TN 37404-4803 | 2007-11-15 |
| 1902934110 | Com-rad Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 339 Benwood Trl Ne, Cleveland, TN 37323-5096 | 2007-03-01 |
| 1467594614 | Med-way Mobile X Ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 251 Mchenry Circle, Livingston, TN 38570 | 2007-02-13 |
| 1245376581 | Radiographics, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2135 Hillshire Cir, Memphis, TN 38133-6074 | 2007-01-30 |
| 1407967565 | Southeastern Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5004 Bayberry Dr, Knoxville, TN 37921-1401 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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| 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.