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PREMIER DIAGNOSTIC IMAGING, LLC
NPI 1730130345
Specialist in Cookeville, TN

Active since May 16, 2006CLIA 44D1066699 · Waiver
315 N WASHINGTON AVE, SUITE 103, COOKEVILLE, TN 38501(931) 528-1800(931) 528-2443 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 17, 2020, Aug 22, 2020 (2 updates tracked since 2020).

About Premier Diagnostic Imaging, Llc NPPES

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

PREMIER DIAGNOSTIC IMAGING, LLC (NPI 1730130345) is a healthcare organization registered as a specialist in Cookeville, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists William M Humphrey, Provider/president, as its authorized official.

NPPES Registry Identity

NPI1730130345
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePREMIER DIAGNOSTIC IMAGING, LLC
Location Address315 N WASHINGTON AVE, SUITE 103Cookeville, TN 38501-2603
Mailing AddressPo Box 1502Cookeville, TN 38503-1502 · (931) 528-1800 · Fax (931) 528-1488
Phone(931) 528-1800
Fax(931) 528-2443
Organization SubpartNo
Authorized OfficialWilliam M HumphreyProvider/president · (931) 528-2443
Enumeration DateMay 16, 2006
Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1730130345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · MD6278
Definition
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.
315 N WASHINGTON AVE, Cookeville, TN 38501
Open in Google Maps ↗

Other Identifiers 10

Medicaid3037577TN
Other3134538TN · Tn Bcbs
Other3134541TN · Tn Bcbs
Medicaid3193466TN
Medicaid3029804TN
Other3134539TN · Tn Bcbs
Other3156107TN · Tn Bcbs
Medicaid3035368TN
Medicaid3193998TN
Other3134540TN · Tn Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 of Waiver 44D1066699

Premier Diagnostic Imaging Premier Medical Park-1st & 2nd Fls · Cookeville, TN
Active · expires Mar 29, 2027
CLIA Number44D1066699
Laboratory TypeOther
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorDr. Seth Means
Laboratory Phone(931) 528-1800
Laboratory LocationPremier Diagnostic Imaging Premier Medical Park-1st & 2nd Fls315 N Washington-#103 And 209, Cookeville, TN 38501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. THUY T NGO M.D.
Specialist
315 N WASHINGTON AVE, SUITE 201
COOKEVILLE, TN 38501
Putnam County (931) 528-5633
DR. TONEY BRITTON HUDSON M.D.
Internal Medicine
315 N WASHINGTON AVE, STE 165
COOKEVILLE, TN 38501
Putnam County (931) 526-1604
WILLIAM RICE ATC
Specialist/Technologist (Athletic Trainer)
315 N WASHINGTON AVE
COOKEVILLE, TN 38501
Putnam County (931) 854-1203
JOYCE HEALTHCARE
Nurse Practitioner (Family)
315 N WASHINGTON AVE, STE 102
COOKEVILLE, TN 38501
Putnam County (931) 528-5273
DR. COLIN GARRETT SMITH D.O.
Family Medicine
315 N WASHINGTON AVE, SUITE 265
COOKEVILLE, TN 38501
Putnam County (931) 854-9432
MS. RHONDA JANE MARCUM APRN, FNP-BC
Nurse Practitioner (Family)
315 N WASHINGTON AVE, SUITE 210
COOKEVILLE, TN 38501
Putnam County (931) 854-9261
RIDDLE FAMILY CARE
Family Medicine
315 N WASHINGTON AVE, SUITE 230
COOKEVILLE, TN 38501
Putnam County (931) 520-8457
JAMES SCOTT BREWER
Physical Therapist
315 N WASHINGTON AVE, 240
COOKEVILLE, TN 38501
Putnam County (615) 591-6590

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 Premier Diagnostic Imaging, LLC's NPI number?

The NPI number for Premier Diagnostic Imaging, LLC is 1730130345. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Premier Diagnostic Imaging, LLC located?

Premier Diagnostic Imaging, LLC is located at 315 N Washington Ave Suite 103, Cookeville, TN 38501. The listed phone number is (931) 528-1800.

What is Premier Diagnostic Imaging, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Premier Diagnostic Imaging, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1066699) is associated with this NPI, valid through March 29, 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 Premier Diagnostic Imaging, LLC was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.