Organization
MIDDLE TENNESSEE IMAGING LLC
Active
Organization
MIDDLE TENNESSEE IMAGING LLC
Active
Other names
PREMIER RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI M CASSIN (AVP, PROVIDER ENROLLMENT)
(312) 724-8477
Entity
Organization
Contact information
Practice address
28 WHITE BRIDGE RD STE 111, NASHVILLE, TN 37205-1466
(615) 986-6040
(615) 986-6041
Mailing address
PO BOX 306512, NASHVILLE, TN 37230-6545
(615) 851-6003
(615) 994-8488
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/14/2022
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