BRISTOL IMAGING CENTER, LLC. (NPI# 1528193943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528193943 |
| Entity Type | Organization |
| Organization Name | BRISTOL IMAGING CENTER, LLC. |
| Practice Address |
1230 Volunteer Pkwy Bristol TN 37620-4628 |
| Mailing Address |
1905 American Way Kingsport TN 37660-5882 |
| Practice Telephone | 4238444200 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL K. LAUF (COO, BRISTOL REGIONAL MEDICAL CENTE) |
| Authorized Official Telephone | 4238444200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
TN | Ambulatory Health Care Facilities |
| Street Address |
1230 VOLUNTEER PKWY |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699056721 | Wellmont Health System | Clinic/Center | 1230 Volunteer Pkwy, Bristol, TN 37620-4628 | 2011-09-02 |
| 1447458427 | Sanjeev Kakkar | Family Medicine | 1230 Volunteer Pkwy, Bristol, TN 37620-4628 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699056721 | Wellmont Health System | Clinic/Center | 1230 Volunteer Pkwy, Bristol, TN 37620-4628 | 2011-09-02 |
| 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 |
| 1225259518 | C and D Associates | Clinic/Center | 795 Ridge Lake Blvd Ste 107, Memphis, TN 38120-9475 | 2007-05-02 |
| 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 | ||||
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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.