CLARKSVILLE IMAGING CENTER LLC NPI 1043285539

NPI Information

NPI: 1043285539
Provider Name: CLARKSVILLE IMAGING CENTER LLC

Doing Business As: CLARKSVILLE IMAGING CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2320 WILMA RUDOLPH BLVD
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 245-6736
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CLARKSVILLE IMAGING CENTER LLC is a diagnostic radiology radiology in Clarksville, TN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CLARKSVILLE IMAGING CENTER LLC NPI is 1043285539. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clarksville Imaging Center.

The provider's business location address is:

2320 WILMA RUDOLPH BLVD
CLARKSVILLE, TN
ZIP 37040-821
Phone: (931) 245-6736

The provider's authorized official is Naomi M Cassin .
The authorized official title is Avp, Provider and has the following contact phone number (312) 724-8477.

The enumeration date for this NPI number is 2/20/2006 and was last updated on 10/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				No
2	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CK9332	OTHER		RAILROAD MEDICARE
2	4034353	OTHER		BCBS
3	3376506	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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