Provider Demographics
NPI:1841471471
Name:NEXT GENERATION IMAGING
Entity type:Organization
Organization Name:NEXT GENERATION IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCCORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-620-5480
Mailing Address - Street 1:PO BOX 331168
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-7510
Mailing Address - Country:US
Mailing Address - Phone:615-620-5480
Mailing Address - Fax:615-321-8409
Practice Address - Street 1:1718 CHARLOTTE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2941
Practice Address - Country:US
Practice Address - Phone:615-620-5480
Practice Address - Fax:615-321-8409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1512004Medicaid