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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: October 25, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Diagnostic Imaging, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Premier Diagnostic Imaging, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Seth Means, M.D.
Diagnostic Radiology
NPI 1922271873
315 N WASHINGTON AVE
Cookeville, TN 38501
(931) 528-1800
✔ PECOS✔ Accepts MedicareSame address
Randall Clark, D.O.
Diagnostic Radiology
NPI 1265873111
70 DOCTORS PARK
Cape Girardeau, MO 63703
(573) 334-6071
✔ PECOS✔ Accepts Medicare239 mi
Anderson Webb, MD
Diagnostic Radiology
NPI 1285139550
5841 S MARYLAND AVE # MC2026
Chicago, IL 60637
(773) 702-3550
✔ PECOS✔ Accepts Medicare404 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Premier Diagnostic Imaging, LLC enrolled in Medicare?

Yes. Premier Diagnostic Imaging, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Diagnostic Imaging, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Premier Diagnostic Imaging, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

What insurance does Premier Diagnostic Imaging, LLC accept?

Health plans from Cigna Healthcare list Premier Diagnostic Imaging, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 6 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.