Clarksville Imaging Center LLC
NPI #1043285539 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1043285539
- Entity Type
- Organization
- Organization Name
- Clarksville Imaging Center LLC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Feb 20, 2006
- Last Updated
- Jun 27, 2022
Practice Location
- Address
- 2320 WILMA RUDOLPH BLVD
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37040-5821
- Phone
- (931) 245-6736
Authorized Official
- Name
- GABRIEL EDWARD STARACE
- Title
- AUTHORIZED OFFICIAL
- Phone
- (615) 851-6033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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