Organization
TENNESSEE IMAGING ALLIANCE LLC
Active
Parent organization
TENNESSEE IMAGING ALLIANCE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE IMAGING ALLIANCE LLC
Authorized official
MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
(502) 477-1815
Entity
Organization
Contact information
Practice address
2628 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-8015
(615) 758-2606
(615) 758-2604
Mailing address
2628 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-8015
(615) 758-2606
(615) 758-2604
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3791297
—
TN
Enumeration date
05/24/2005
Last updated
06/12/2008
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