NPIMap

Organization Active NPI

Middle Tennessee Imaging, LLC

Doing business as Premier Radiology Antioch

  • Radiology Clinic/Center
  • Antioch, TN
National Provider Identifier
1316305089
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MIDDLE TENNESSEE IMAGING, LLC
Doing business as
Premier Radiology Antioch
Premier Radiology Hendersonville
Practice address
3754 Murfreesboro Pike Ste 102
Antioch, TN 37013-3878
Phone
(615) 467-4642
Fax
(615) 467-4643
NPI assigned
Feb 9, 2016
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Naomi M Cassin
Title
Avp, Provider Enrollment
Phone
(312) 724-8477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

3754 Murfreesboro Pike Ste 102
Antioch, TN 37013-3878

Mailing address

PO Box 306512
Nashville, TN 37230-6545
Phone (615) 851-6033

Other names 2

  • Premier Radiology Antioch Doing business as
  • Premier Radiology Hendersonville Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2152961Premier Radiology - Antioch3754 Murfreesboro Pike, Suite 102, Antioch, TN 37013Certificate of waiverAug 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Middle Tennessee Imaging LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

75 Remittance Dr
Dept 6164
Chicago, IL 60675

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1316305089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306512",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306545",
            "telephone_number": "615-851-6033",
            "fax_number": "615-994-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 MURFREESBORO PIKE STE 102",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133878",
            "telephone_number": "615-467-4642",
            "fax_number": "615-467-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "CASSIN",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AVP, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "312-724-8477"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Radiology Antioch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Radiology Hendersonville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Radiology Hendersonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.