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Organization
MIDDLE TENNESSEE IMAGING, LLC
Active
Organization
MIDDLE TENNESSEE IMAGING, LLC
Active
Other names
Premier Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI M CASSIN (AVP, PROVIDER ENROLLMENT)
(312) 724-8477
Entity
Organization
Contact information
Practice address
980 PROFESSIONAL PARK DR, SUITE E, CLARKSVILLE, TN 37040-5251
(615) 851-6033
Mailing address
PO BOX 306512, NASHVILLE, TN 37230-6545
(615) 851-6003
(615) 984-8488
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/14/2022
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