Middle Tennessee Imaging, LLC
Organization Active NPI Mobile Radiology Clinic/Center · Nashville, TN
NPI 1629434394 · NPPES record last updated Dec 14, 2022
Key facts
- NPI
- 1629434394
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mobile Radiology Clinic/Center 261QR0208X
- Legal business name
- MIDDLE TENNESSEE IMAGING, LLC
- Practice address
- 28 White Bridge Rd
Suite 314
Nashville, TN 37205-1499 - Phone
- (615) 986-6040
- Fax
- (615) 986-6041
- NPI assigned
- Jan 11, 2016
- Organization subpart
- No
Authorized official
- Name
- Naomi M Cassin
- Title
- Avp, Provider Enrollment
- Phone
- (312) 724-8477
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 8
Member of 2
Practitioners 147
-
John J Alarcon, M.D.
-
Steven Michael Blount, M.D.
-
Dana Noble Bonaminio, M.D.
-
Michael C Cian, M.D.
-
Michael R Couden, M.D.
-
Kevin Patrick Cunneely, M.D.
-
Amer Haque, M.D.
-
Jeffrey M Huggett, M.D.
-
Andrew R. Hutchens, M.D.
-
James Centre King III, M.D.
-
Joe M Maccurdy Jr., M.D.
-
Manish Patel, M.D.
-
Melinda Rixey Sava, M.D.
-
Steven Thomas Shaba, M.D.
-
Vineet Sharma, M.D.
-
Gabriel Edward Starace, M.D.
-
Daniel J Wunder, M.D.
-
Arash Afari, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160513000681 | TN | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5698743706 | Practice locations: Nashville, TN |
National Provider Directory
- Tax ID family
- Premier Radiology Mobile
Locations
801 W Main St
Lebanon, TN 37087
Phone (615) 335-0124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Yes |
Addresses
Primary practice location
28 White Bridge Rd
Suite 314
Nashville, TN 37205-1499
Mailing address
PO Box 306512
Nashville, TN 37230-6545
Phone (615) 851-6003
Other names
- Premier Radiology Mobile Diagnostics
Other providers in Nashville, TN
- Middle Tennessee Eyecare PLLC
- Middle Tennessee Hospitalist, PLC
- Middle Tennessee Imaging LLC
- Middle Tennessee Imaging LLC
- Middle Tennessee Imaging LLC
- Middle Tennessee Imaging, LLC
- Middle Tennessee Imaging, LLC
- Middle Tennessee Internal Medicine Associates, PLLC
- Middle Tennessee Neurosurgical Services
- Middle Tennessee Oral Sleep Therapy LLC
All providers in Nashville, TN · Mobile Radiology Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.