Clarksville Imaging Center
LBN: Clarksville Imaging Center Llc
Clarksville Imaging Center is an health care organization with primary practice located at 2320 Wilma Rudolph Blvd , Clarksville TN 37040-5821. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Clarksville Imaging Center Llc can be contacted via phone (931) 245-6736, or through Starace, Gabriel Edward via phone (615) 851-6033.
Contact Information
Primary practice address
2320 Wilma Rudolph Blvd
Clarksville TN 37040-5821
Phone: (931) 245-6736
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1043285539 |
|---|---|
| LBN Legal business name | Clarksville Imaging Center Llc |
| DBA Doing business as | Clarksville Imaging Center |
| Authorized official | Starace, Gabriel Edward |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Jun 27th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043285539 | NPPES |
| Other | 4034353 | BCBS | |
| MEDICAID | 3376506 | BCBS | |
| Other | CK9332 | BCBS |
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