| Organization Name: | SPINAL SCAN |
| NPI Number: | 1083743231 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES PATRICK ANDERSON (OWNER M EDICAL DIRECTOR) |
| Mailing Address: | 314 Bluebird Dr Goodlettsville |
| State: | TN US |
| Postal Code: | 370722304 |
| Phone Number: | 6158515757 |
| Fax Number: | 6158514607 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | 009317 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |