Organization Name: | CLARKSVILLE IMAGING CENTER LLC |
NPI Number: | 1043285539 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUG U HONG (PRESIDENT) |
Mailing Address: | 2320 Wilma Rudolph Blvd Clarksville |
State: | TN US |
Postal Code: | 370405821 |
Phone Number: | 9312456736 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2006 |
NPI Last Update Date: | 08/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |