MIDDLE TENNESSEE IMAGING, LLC (NPI# 1780123679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780123679 |
| Entity Type | Organization |
| Organization Name | MIDDLE TENNESSEE IMAGING, LLC |
| Other Organization Name | PREMIER RADIOLOGY CLARKSVILLE |
| Practice Address |
980 Professional Park Dr Suite E Clarksville TN 37040-5251 |
| Mailing Address |
3024 Business Park Cir Goodlettsville TN 37072-3132 |
| Practice Telephone | 9314369307 |
| Practice Fax Number | 9314369308 |
| Mailing Telephone | 6158516033 |
| Mailing Fax Number | 6158512018 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | DR. CHAD L CALENDINE (PRESIDENT) |
| Authorized Official Telephone | 6153563999 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Radiology Clarksville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932686318 | Middle Tennessee Imaging, LLC | Clinic/Center | 5700 Temple Rd Ste 102, Nashville, TN 37221-4171 | 2018-07-27 |
| 1972025989 | Middle Tennessee Imaging, LLC | Clinic/Center | 6130 Nolensville Rd Ste 102, Nashville, TN 37211-6813 | 2017-07-11 |
| 1316305089 | Middle Tennessee Imaging, LLC | Clinic/Center | 3754 Murfreesboro Pike Ste 102, Antioch, TN 37013-3878 | 2016-02-09 |
| 1629434394 | Middle Tennessee Imaging, LLC | Clinic/Center | 28 White Bridge Rd, Suite 314, Nashville, TN 37205-1499 | 2016-01-11 |
| 1831597806 | Middle Tennessee Imaging, LLC | Clinic/Center | 980 Professional Park Dr, Suite E, Clarksville, TN 37040-5251 | 2014-12-08 |
| Street Address |
980 PROFESSIONAL PARK DR SUITE E |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879782 | Kristina Renae Greene | Physician Assistant | 980 Professional Park Dr, Suite A, Clarksville, TN 37040-5251 | 2005-05-23 |
| 1326407024 | Amelia Wilson | Physical Therapist | 980 Professional Park Dr, Clarksville, TN 37040-5251 | 2016-02-23 |
| 1013373141 | Inessa Pavlovna Chernish | Physician Assistant | 980 Professional Park Dr, Suite A, Clarksville, TN 37040-5251 | 2016-01-05 |
| 1053789149 | Rebecca D Derby | Nurse Practitioner | 980 Professional Park Dr, Ste. C, Clarksville, TN 37040-5251 | 2015-09-08 |
| 1710360706 | Advanced Diagnostic Imaging PC | Durable Medical Equipment & Medical Supplies | 980 Professional Park Dr, Suite A, Clarksville, TN 37040-5251 | 2015-07-08 |
| 1831597806 | Middle Tennessee Imaging, LLC | Clinic/Center | 980 Professional Park Dr, Suite E, Clarksville, TN 37040-5251 | 2014-12-08 |
| 1114320108 | Pain Md LLC | Durable Medical Equipment & Medical Supplies | 980 Professional Park Dr, Ste. C, Clarksville, TN 37040-5251 | 2014-10-03 |
| 1174937320 | Daisy Tambe | Nurse Anesthetist, Certified Registered | 980 Professional Park Dr, Ste C, Clarksville, TN 37040-5251 | 2014-06-16 |
| 1447594486 | Amanda Jean Fryer | Nurse Practitioner | 980 Professional Park Dr, Ste. C, Clarksville, TN 37040-5251 | 2012-11-15 |
| 1316200454 | Charity Elizabeth Winters | Physical Therapist | 980 Professional Park Dr, Suite D, Clarksville, TN 37040-5251 | 2012-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619165396 | Kentuckiana Motion X-ray, Inc. | Clinic/Center | 2403 Gutford Rd, Clarksville, IN 47129-9051 | 2007-10-09 |
| 1831597806 | Middle Tennessee Imaging, LLC | Clinic/Center | 980 Professional Park Dr, Suite E, Clarksville, TN 37040-5251 | 2014-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194121764 | Professional Sonographic Imaging | Clinic/Center | 1505 Woodlawn Ave, Suite B, Dyersburg, TN 38024-3145 | 2014-11-10 |
| 1326310194 | Pmi Diagnostics | Clinic/Center | 284 Sally Parton Rd, Woodbury, TN 37190-5319 | 2012-02-08 |
| 1073802682 | Upper Cumberland Mobile Imaging, LLC | Clinic/Center | 291 Lake Ln, Cookeville, TN 38506-7936 | 2011-04-04 |
| 1255571212 | American Diagnostics Inc | Clinic/Center | 7003 Chadwick Dr Ste 321, Brentwood, TN 37027-5282 | 2009-03-03 |
| 1679735690 | Sono Pro, LLC | Clinic/Center | 307 Independence St, Springfield, TN 37172-7430 | 2008-07-01 |
| 1558533075 | X Ray Services, Inc. | Clinic/Center | 2500 21st Ave S Ste 107, Nashville, TN 37212-5625 | 2008-03-25 |
| 1629192406 | Spinal Diagnostics PC | Clinic/Center | 1208 S Roane Street, Harriman, TN 37748-7420 | 2007-03-19 |
| 1467597336 | Priority Ultrasound Services, LLC | Clinic/Center | 3960 Bell Rd, 209, Hermitage, TN 37076-2944 | 2007-02-20 |
| 1114069333 | Premier Mobile Health, Inc | Clinic/Center | 1461 Haynes Dr., Murfreesboro, TN 37129 | 2007-02-13 |
| 1275603839 | X Ray Services Inc | Clinic/Center | 2500 21st Avenue South, Ste 107, Nashville, TN 37212 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on MIDDLE TENNESSEE IMAGING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.