# MIDDLE TENNESSEE IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PREMIER RADIOLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952776015
- **Authorized official:** NAOMI M CASSIN (AVP, PROVIDER ENROLLMENT)
- **Authorized official phone:** (312) 724-8477

## Contact information

- **Practice address:** 28 WHITE BRIDGE RD STE 111, NASHVILLE, TN 37205-1466
- **Practice address phone:** (615) 986-6040
- **Practice address fax:** (615) 986-6041
- **Mailing address:** PO BOX 306512, NASHVILLE, TN 37230-6545
- **Mailing address phone:** (615) 851-6003
- **Mailing address fax:** (615) 994-8488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2015
- **Last updated:** 12/14/2022