44D1091901 CLIA NUMBER - MIDDLE TENNESSEE IMAGING DBA PREMIER RADIOLOGY MT JULIET

Laboratory Demographics

  • CLIA Code: 44D1091901
  • Facility Name: MIDDLE TENNESSEE IMAGING DBA PREMIER RADIOLOGY MT JULIET
  • Facility Address: 5002 CROSSING CIRCLE STE 140
    MOUNT JULIET, TN
    ZIP 37122
  • Facility Phone: 615 773-7237
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHLEE COLE
  • NPI Number: 1467720102
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 44D1091901
LAB Type Physician Office
Facility Name MIDDLE TENNESSEE IMAGING DBA PREMIER RADIOLOGY MT JULIET
Street 5002 CROSSING CIRCLE STE 140
City MOUNT JULIET
State TN
ZIP 37122
Phone 615 773-7237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director ASHLEE COLE

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This page was last updated on: 6/4/2025