Organization
MURFREESBORO DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX MOSS M.D. (BOARD MEMBER)
(615) 896-1234
Entity
Organization
Contact information
Practice address
1020 N HIGHLAND AVE, MURFREESBORO, TN 37130-2494
(615) 896-1234
(615) 896-7171
Mailing address
1020 N HIGHLAND AVE, MURFREESBORO, TN 37130-2494
(615) 896-1234
(615) 896-7171
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
ODC0000000012
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3791206
—
TN
01
—
P00170845
RAILROAD MEDICARE
TN
Enumeration date
10/24/2006
Last updated
12/27/2011
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