44D1081993 CLIA NUMBER - MIDDLE TENNESSEE IMAGING LLC DBA PREMIER RADIOLOGY COOL SPRINGS

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Laboratory Demographics

CLIA Number: 44D1081993

Facility Name: MIDDLE TENNESSEE IMAGING LLC DBA PREMIER RADIOLOGY COOL SPRINGS

Facility Address:
3310 ASPEN GROVE DRIVE SUITE 101
FRANKLIN, TN
ZIP 37067
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Facility Phone Number: 615 771-0171

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1649211152

Taxonomy: 2086S0129X - Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CLIA Record

Field Name	Field Value
CLIA Number	44D1081993
LAB Type	Other
Facility Name	MIDDLE TENNESSEE IMAGING LLC DBA PREMIER RADIOLOGY COOL SPRINGS
Street	3310 ASPEN GROVE DRIVE SUITE 101
City	FRANKLIN
State	TN
ZIP	37067
Phone	615 771-0171
CertificateType	4
CertificateEffectiveDate	3/31/2024
CertificateExpirationDate	3/30/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024