Provider Demographics
NPI:1598788481
Name:HEALTH SCAN
Entity Type:Organization
Organization Name:HEALTH SCAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:EISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-925-0056
Mailing Address - Street 1:245 WAYNE RD STE D
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-1946
Mailing Address - Country:US
Mailing Address - Phone:731-925-0056
Mailing Address - Fax:731-925-5583
Practice Address - Street 1:245 WAYNE RD STE D
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-1946
Practice Address - Country:US
Practice Address - Phone:731-925-0056
Practice Address - Fax:731-925-5583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMDX45692471B0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471B0102XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistBone DensitometryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3711198Medicaid
TN3711198Medicaid