# MURFREESBORO DIAGNOSTIC IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538243043
- **Authorized official:** DR. MAX MOSS M.D. (BOARD MEMBER)
- **Authorized official phone:** (615) 896-1234

## Contact information

- **Practice address:** 1020 N HIGHLAND AVE, MURFREESBORO, TN 37130-2494
- **Practice address phone:** (615) 896-1234
- **Practice address fax:** (615) 896-7171
- **Mailing address:** 1020 N HIGHLAND AVE, MURFREESBORO, TN 37130-2494
- **Mailing address phone:** (615) 896-1234
- **Mailing address fax:** (615) 896-7171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | ODC0000000012 | TN | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 12/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3791206 | — | TN |
| 01 | — | P00170845 | RAILROAD MEDICARE | TN |