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AMG - HILLSIDE LLC NPI 1669927257


NPI Information

NPI: 1669927257
Provider Name: AMG - HILLSIDE, LLC

Doing Business As: HILLSIDE RADIOLOGIST

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 44D0029284

Address:
1265 E COLLEGE ST
PULASKI, TN
ZIP 38478
Phone: (931) 363-7531
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AMG - HILLSIDE, LLC is a diagnostic radiology radiology in Pulaski, TN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. AMG - HILLSIDE, LLC NPI is 1669927257. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hillside Radiologist.

The provider's business location address is:

1265 E COLLEGE ST
PULASKI, TN
ZIP 38478-541
Phone: (931) 363-7531

The provider's authorized official is Casey Willis .
The authorized official title is Market Manager and has the following contact phone number (931) 766-4574.

The CLIA number assigned to this NPI record is 44D0029284 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/24/2016 and was last updated on 8/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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