Tennessee Imaging Alliance LLC
NPI #1538162334 in Mount Juliet, Tennessee
Provider Information
- NPI Number
- 1538162334
- Entity Type
- Organization
- Organization Name
- Tennessee Imaging Alliance LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TENNESSEE IMAGING ALLIANCE LLC
- Primary Specialty
- Clinic/Center - Radiology, Mobile
- Enumeration Date
- May 24, 2005
- Last Updated
- Jun 12, 2008
Practice Location
- Address
- 2628 N MOUNT JULIET RD
- City
- Mount Juliet
- State
- Tennessee
- ZIP Code
- 37122-8015
- Phone
- (615) 758-2606
Authorized Official
- Name
- MRS. MICHELLE DOUGLAS
- Title
- CREDENTIALING MANAGER
- Phone
- (502) 477-1815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mobile — Radiology, Mobile |
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