# MIDDLE TENNESSEE IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Radiology Women's Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053069559
- **Authorized official:** NAOMI M CASSIN (AVP, PROVIDER ENROLLMENT)
- **Authorized official phone:** (312) 724-8477

## Contact information

- **Practice address:** 2011 MURPHY AVE STE 601, NASHVILLE, TN 37203-2220
- **Practice address phone:** (615) 356-3999
- **Mailing address:** PO BOX 306512, NASHVILLE, TN 37230-6545
- **Mailing address phone:** (615) 356-3999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QR0206X | Mammography Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2022
- **Last updated:** 12/14/2022
