PREMIER DIAGNOSTIC IMAGING, LLC
NPI 1730130345
Specialist in Cookeville, TN
- Organization
- Specialist
- CLIA Number: 44D1066699
- CLIA Cert. Type: Other
- CLIA Exp. Date: 03-29-2027
About PREMIER DIAGNOSTIC IMAGING, LLC
This page provides the complete NPI Profile along with additional information for Premier Diagnostic Imaging, Llc, a provider established in Cookeville, Tennessee operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1730130345 assigned on May 2006. The practitioner's primary taxonomy code is 174400000X with license number MD6278 (TN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. William M Humphrey Md (Provider/president)
- NPI
- 1730130345 Verify this NPI
- Provider Name
- PREMIER DIAGNOSTIC IMAGING, LLC
- Entity Type
- Organization
- Location Address
- 315 N WASHINGTON AVE SUITE 103 COOKEVILLE, TN 38501
- Location Phone
- (931) 528-1800
- Location Fax
- (931) 528-2443
- Mailing Address
- PO BOX 1502 COOKEVILLE, TN 38503
- Mailing Phone
- (931) 528-1800
- Mailing Fax
- (931) 528-1488
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2006
- Last Update Date
- 09-17-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MD6278
- License State
- TN
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3037577 | MEDICAID (05) | TN | |
| 3134538 | OTHER (01) | TN | TN BCBS |
| 3134541 | OTHER (01) | TN | TN BCBS |
| 3193466 | MEDICAID (05) | TN | |
| 3029804 | MEDICAID (05) | TN | |
| 3134539 | OTHER (01) | TN | TN BCBS |
| 3156107 | OTHER (01) | TN | TN BCBS |
| 3035368 | MEDICAID (05) | TN | |
| 3193998 | MEDICAID (05) | TN | |
| 3134540 | OTHER (01) | TN | TN BCBS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D1066699
- Facility Type
- Other
- Certificate Effective Date
- March 30, 2025
- Certificate Expiration Date
- March 29, 2027
- Laboratory Director
- DR. SETH MEANS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premier Diagnostic Imaging, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730130345, enumerated as an "organization" on May 16, 2006.
The provider is located at 315 N WASHINGTON AVE SUITE 103 COOKEVILLE, TN 38501 and the phone number is (931) 528-1800.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
