HILLSIDE RADIOLOGIST
NPI 1669927257
Radiology - Diagnostic Radiology in Pulaski, TN

NPI Status: Active since August 24, 2016

Contact Information

1265 E COLLEGE ST
PULASKI, TN
ZIP 38478
Phone: (931) 363-7531

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 44D0029284
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-11-2026

About HILLSIDE RADIOLOGIST

This page provides the complete NPI Profile along with additional information for Hillside Radiologist, a provider established in Pulaski, Tennessee operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1669927257 assigned on August 2016. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Hillside Radiologist operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Hillside Radiologist. The authorized official of this NPI record is Casey Willis (Market Manager)

NPI
1669927257
Provider Legal Name
AMG - HILLSIDE, LLC
Other Organization Name
HILLSIDE RADIOLOGIST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1265 E COLLEGE ST PULASKI, TN 38478
Location Phone
(931) 363-7531
Mailing Address
PO BOX 635 PULASKI, TN 38478
Mailing Phone
(931) 363-7531
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2016
Last Update Date
08-24-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CASEY WILLIS

Authorized Official Title
MARKET MANAGER
Authorized Official Phone
(931) 766-4574

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0029284
Facility Type
Hospital
Certificate Effective Date
August 12, 2024
Certificate Expiration Date
August 11, 2026
Laboratory Director
ALEXANDER THURMAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Hillside Radiologist on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for HILLSIDE RADIOLOGIST

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669927257
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2612918214210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 8 + 2 + 1 + 4 + 2 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1669927257 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184623258DR. TODD JEFFERSON LUCAS MD
Individual
Surgery1265 E COLLEGE ST SUITE 9
PULASKI, TN 38478
(931) 424-9069
1023004397DR. RICHARD F STULTS MD
Individual
Radiology (Diagnostic Radiology)1265 E COLLEGE ST RICHARD F. STULTS, MD
PULASKI, TN 38478
(931) 381-8492
1275591851SOUTHEAST SURGICAL, PLLC
Organization
Surgery1265 E COLLEGE ST SUITE 9
PULASKI, TN 38478
(931) 424-9069
1306891536 MOHAMED ZIAUDDIN M.D.
Individual
Internal Medicine1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-8649
1124074752 GORAN DJORDJE ANTIC MD
Individual
Emergency Medicine1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-7531
1184663676 ALLEN HONIG MD
Individual
Emergency Medicine1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-7531
1295811073GILES COUNTY ANESTHESIA PC
Organization
Nurse Anesthetist, Certified Registered1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-7531
1497831291 ENRIQUE MOLINA CRNA
Individual
Nurse Anesthetist, Certified Registered1265 E COLLEGE ST
PULASKI, TN 38478
(615) 620-2320
1588934673AMG-HILLSIDE, LLC
Organization
Psychiatry & Neurology (Geriatric Psychiatry)1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-7531
1477991743INSIGHT RADIOLOGY PLLC
Organization
Radiology (Diagnostic Radiology)1265 E COLLEGE ST
PULASKI, TN 38478
(615) 444-2320
1225450646 JOSEPH E HEMMEN JR. CRNA
Individual
Nurse Anesthetist, Certified Registered1265 E COLLEGE ST
PULASKI, TN 38478
(615) 620-2320
1174087621 BRANDON MATT FLEMING DPT
Individual
Physical Therapist1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-7531
1699152686 MATHIOS M BAYSSIE MD
Individual
Emergency Medicine1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-7531
1780047506PULASKI ANESTHESIA SERVICES LLC
Organization
Nurse Anesthetist, Certified Registered1265 E COLLEGE ST
PULASKI, TN 38478
(660) 826-5960
1376082933DR. MATTHEW JESSE BURNS DO
Individual
Emergency Medicine1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-7531
1891860797AMG HILLSIDE LLC
Organization
Internal Medicine1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-7531
1437735552MR. ROSS PARKER BLAIR APRN
Individual
Nurse Practitioner (Acute Care)1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-7531
1023193968HILLSIDE HOSPITAL LLC
Organization
Psychiatric Unit1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-7531
1770666224HILLSIDE HOSPITAL LLC
Organization
Medicare Defined Swing Bed Unit1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-7531
1841388519HILLSIDE HOSPITAL LLC
Organization
General Acute Care Hospital (Rural)1265 E COLLEGE ST
PULASKI, TN 38478
(931) 363-7531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669927257, enumerated in the NPI registry as an "organization" on August 24, 2016

The provider is located at 1265 E College St Pulaski, Tn 38478 and the phone number is (931) 363-7531

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider's CLIA number is 44D0029284 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on August 24, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.