Jack Michael Friday in Goodlettsville - Diagnostic Radiology
Jack Michael Friday - NPI 1700825940
Jack Michael Friday is a Diagnostic Radiology in Goodlettsville, Tennessee. Jack Michael Friday practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jack Michael Friday is 1700825940. The last update date is 2011-11-30.
Jack Michael Friday's current location address is 3024 Business Park Cir, Goodlettsville, Tennessee. You can contact this provider via phone number 6158516033 and fax number 6158512018. The mailing address for Jack Michael Friday is 3024 Business Park Cir, Goodlettsville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Michael Friday |
|---|---|
| Address | 3024 Business Park Cir, Goodlettsville, Tennessee |
| Phone Number | 6158516033 |
| Fax Number | 6158512018 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700825940 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2011-11-30 |
Provider Mailing Address Detail
| Address | 3024 Business Park Cir |
|---|---|
| City | Goodlettsville |
| State | Tennessee (TN) |
| Post Code | 370723132 |
| Phone Number | 6158516033 |
| Fax Number | 6158512018 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | MD25800 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3031174 | TN | BCBS | |
| 4291356 | TN | BCBS - MTI | |
| 1509266 | TN | MEDICAID - MTI | |
| 300108653 | TN | RAILROAD MEDICARE | |
| 3083732 | TN | -- | |
| 3136571 | TN | BCBS | |
| 4200799 | TN | BCBS TN | |
| 64924590 | KY | KY MEDICAID | |
| 6492459000 | KY | -- | |
| 1509266 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack Michael Friday by the Centers for Medicare & Medicaid Services?
The Jack Michael Friday has been issued the NPI (National Provider Identifier) 1700825940, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jack Michael Friday?
The Jack Michael Friday is situated at 3024 Business Park Cir, in the city of Goodlettsville, state of TN, with the zip code 370723132.
What is Jack Michael Friday's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Michael Friday is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did the Jack Michael Friday receive the assignment of its 1700825940 from the Centers for Medicare & Medicaid Services?
The Jack Michael Friday was issued its 1700825940 by the Centers for Medicare & Medicaid Services on 2006-06-05.
When was the information pertaining to Jack Michael Friday most recently updated or revised?
The details related to Jack Michael Friday, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-30.