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PREMIER FOOT & ANKLE CENTERS OF TENNESSEE
NPI 1043988983
Durable Medical Equipment & Medical Supplies in Mcminnville, TN

Active since September 04, 2021CLIA 44D1102638 · Microscopy
1428 SPARTA ST STE 4, MCMINNVILLE, TN 37110(931) 507-3668 Get Directions Write a Review

NPPES record last updated: September 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Foot & Ankle Centers Of Tennessee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER FOOT & ANKLE CENTERS OF TENNESSEE (NPI 1043988983) is a healthcare organization registered as a durable medical equipment & medical supplies in Mcminnville, Tennessee and active in the NPI registry since September 2021. The organization holds a CLIA Microscopy certificate valid through September 30, 2027 and lists Susan Fenton, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1043988983
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameADVANCED DIAGNOSTIC IMAGING, PC
Location Address1428 SPARTA ST STE 4Mcminnville, TN 37110-1365
Mailing Address3024 Business Park CirGoodlettsville, TN 37072-3132 · (615) 239-2018 · Fax (615) 851-2018
Phone(931) 507-3668
Organization SubpartNo
Authorized OfficialSusan FentonCredentialing Manager · (615) 854-3409
Enumeration DateSeptember 4, 2021
NPPES CertifiedSeptember 4, 2021
✔ NPI 1043988983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedPodiatristTaxonomy 213E00000X
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
1428 SPARTA ST STE 4, Mcminnville, TN 37110
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Other Names 1

Doing Business AsPremier Foot & Ankle Centers Of Tennessee

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D1102638

Advanced Diagnostic Imaging PC Dba Namaste Wellness & Aesthetics · Mcminnville, TN
Active · expires Sep 30, 2027
CLIA Number44D1102638
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorDr. Dawn M. Riley
Laboratory Phone(931) 815-8800
Laboratory LocationAdvanced Diagnostic Imaging PC Dba Namaste Wellness & Aesthetics159 Omni Dr Ste 1, Mcminnville, TN 37110
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VILAYVANH SAYSOUKHA DPM, MS
Podiatrist (Foot & Ankle Surgery)
1428 SPARTA ST STE 4
MCMINNVILLE, TN 37110
Warren County (931) 507-3668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Diagnostic Imaging, PC's NPI number?

The NPI number for Advanced Diagnostic Imaging, PC is 1043988983. It was assigned to this organization in the NPPES registry on September 4, 2021. The provider is doing business as Premier Foot & Ankle Centers Of Tennessee.

Where is Advanced Diagnostic Imaging, PC located?

Advanced Diagnostic Imaging, PC is located at 1428 Sparta St Ste 4, Mcminnville, TN 37110. The listed phone number is (931) 507-3668.

What is Advanced Diagnostic Imaging, PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Advanced Diagnostic Imaging, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D1102638) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Diagnostic Imaging, PC was last updated on September 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.