NPIMap

Organization Active NPI

Middle Tennessee Imaging LLC

Doing business as Premier Radiology

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Nashville, TN
National Provider Identifier
1952776015
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
MIDDLE TENNESSEE IMAGING LLC
Doing business as
Premier Radiology
Practice address
28 White Bridge Rd Ste 111
Nashville, TN 37205-1466
Phone
(615) 986-6040
Fax
(615) 986-6041
NPI assigned
Dec 1, 2015
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
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X NU Primary

Addresses

Primary practice location

28 White Bridge Rd Ste 111
Nashville, TN 37205-1466

Mailing address

PO Box 306512
Nashville, TN 37230-6545
Phone (615) 851-6003

Other names 1

  • PREMIER RADIOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161122001859 TN Part B Supplier - Portable X-Ray Supplier 5698743706 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952776015. Details of each certification follow.

Portable X-ray supplier certification: CCN 44X0009843

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PREMIERE RADIOLOGY
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Aug 2, 2016
Last certification
Sep 27, 2019
Ownership / control type
Corporation
Facility address
28 White Bridge Road Suite 314
Nashville, TN 37205

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1952776015",
    "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": "615-851-6003",
            "fax_number": "615-994-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WHITE BRIDGE RD STE 111",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051466",
            "telephone_number": "615-986-6040",
            "fax_number": "615-986-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "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": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PREMIER RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.