Organization
MIDDLE TENNESSEE IMAGING LLC
Active
Other names
Premier Radiology Women's Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI M CASSIN (AVP, PROVIDER ENROLLMENT)
(312) 724-8477
Entity
Organization
Contact information
Practice address
2011 MURPHY AVE STE 601, NASHVILLE, TN 37203-2220
(615) 356-3999
Mailing address
PO BOX 306512, NASHVILLE, TN 37230-6545
(615) 356-3999
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
12/14/2022
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