Organization
CUMBERLAND IMAGING ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON L HARDIN MD (PRESIDENT)
(931) 528-2541
Entity
Organization
Contact information
Practice address
142 W 5TH ST, COOKEVILLE, TN 38501-1760
(931) 528-2541
(931) 526-8814
Mailing address
PO BOX 3262, INDIANAPOLIS, IN 46206-3262
(931) 647-5034
(931) 552-6663
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD31227
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370031
—
TN
01
—
4151225
BLUE CROSS
TN
01
—
DG0604
RAILROAD MEDICARE GROUP
TN
Enumeration date
03/29/2007
Last updated
02/15/2022
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