NPIMap

Organization Active NPI

Middle Tennessee Imaging, LLC

  • Radiology Clinic/Center
  • Nashville, TN
National Provider Identifier
1972025989
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
Practice address
6130 Nolensville Rd Ste 102
Nashville, TN 37211-6813
Phone
(615) 986-7026
Fax
(615) 234-1510
NPI assigned
Jul 11, 2017
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

6130 Nolensville Rd Ste 102
Nashville, TN 37211-6813

Mailing address

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

Other names 1

  • Premier Radiology - Lenox Village Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181018002768 TN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5698743706 1 other NPI on this enrollment
Practice locations: Nashville, TN

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
44D2132484Premier Radiology - Lenox Village6130 Nolensville Pike, Suite 102, Nashville, TN 37211Certificate of waiverJun 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Premier Radiology Mobile9 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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1972025989",
    "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": "6130 NOLENSVILLE RD STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116813",
            "telephone_number": "615-986-7026",
            "fax_number": "615-234-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "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 - Lenox Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.