Organization
CLARKSVILLE IMAGING CENTER LLC
Active
Other names
Clarksville Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MARIE VAUGHN (AO)
(629) 317-1456
Entity
Organization
Contact information
Practice address
2320 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-8960
(615) 747-2984
Mailing address
PO BOX 249, GOODLETTSVILLE, TN 37070-0249
(615) 851-6033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3376506
—
TN
01
—
4034353
BCBS
—
01
—
CK9332
RAILROAD MEDICARE
—
Enumeration date
02/20/2006
Last updated
03/25/2026
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