Provider Demographics
NPI:1104139419
Name:WALKER IMAGING
Entity type:Organization
Organization Name:WALKER IMAGING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHADWICK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-499-1650
Mailing Address - Street 1:32 BROWNING HILLS CV
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:TN
Mailing Address - Zip Code:38358-6265
Mailing Address - Country:US
Mailing Address - Phone:731-499-1650
Mailing Address - Fax:731-686-9027
Practice Address - Street 1:7001 GRABALL DR
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:TN
Practice Address - Zip Code:38358-6491
Practice Address - Country:US
Practice Address - Phone:731-499-1650
Practice Address - Fax:731-686-9027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies