1. Home
  2. Directory
  3. Tennessee
  4. Clarksville
  5. Clinic Center
  6. NPI Profile

PREMIER RADIOLOGY CLARKSVILLE
NPI 1780123679
Clinic/Center - Radiology, Mobile in Clarksville, TN

Active since February 13, 2017CLIA 44D2092821 · Waiver
980 PROFESSIONAL PARK DR, SUITE E, CLARKSVILLE, TN 37040(931) 436-9307(931) 436-9308 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2022, Feb 6, 2020, Oct 9, 2019 and 1 more (4 updates tracked since 2017).

About Premier Radiology Clarksville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER RADIOLOGY CLARKSVILLE (NPI 1780123679) is a healthcare organization registered as a radiology, mobile in Clarksville, Tennessee and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Naomi M Cassin, Avp, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1780123679
Entity TypeOrganization
Primary Taxonomy261QR0208X
Legal Business NameMIDDLE TENNESSEE IMAGING, LLC
Location Address980 PROFESSIONAL PARK DR, SUITE EClarksville, TN 37040-5251
Mailing AddressPo Box 306512Nashville, TN 37230-6545 · (615) 851-6003 · Fax (615) 994-8488
Phone(931) 436-9307
Fax(931) 436-9308
Organization SubpartNo
Authorized OfficialNaomi M CassinAvp, Provider Enrollment · (312) 724-8477
Enumeration DateFebruary 13, 2017
Last NPPES UpdateDecember 14, 20224 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1780123679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MobileAmbulatory Health Care Facilities
Taxonomy Code261QR0208X
980 PROFESSIONAL PARK DR, Clarksville, TN 37040
Open in Google Maps ↗

Other Names 1

Doing Business AsPremier Radiology Clarksville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2092821

Premier Radiology- Clarksville · Clarksville, TN
Active · expires Mar 12, 2027
CLIA Number44D2092821
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorDaniel Wunder
Laboratory Phone(931) 436-9307
Laboratory LocationPremier Radiology- Clarksville980 Professional Park Drive, Suite E, Clarksville, TN 37040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNY LEE ROBINSON MS, PA-C
Physician Assistant
980 PROFESSIONAL PARK DR, SUITE A
CLARKSVILLE, TN 37040
Montgomery County (931) 905-1001
INESSA PAVLOVNA BROOKS PAC
Physician Assistant
980 PROFESSIONAL PARK DR, SUITE A
CLARKSVILLE, TN 37040
Montgomery County (931) 905-1001
KEITH D STARKWEATHER, M.D., P.C.
Durable Medical Equipment & Medical Supplies
980 PROFESSIONAL PARK DR, SUITE A
CLARKSVILLE, TN 37040
Montgomery County (931) 905-1001
REBECCA D DERBY NP
Nurse Practitioner
980 PROFESSIONAL PARK DR, STE. C
CLARKSVILLE, TN 37040
Montgomery County (931) 647-5747
CASEY DANIEL SIGERSON D.O.
Orthopaedic Surgery (Hand Surgery)
980 PROFESSIONAL PARK DR
CLARKSVILLE, TN 37040
Montgomery County (931) 905-1001
PAIN MD LLC
Prosthetic/Orthotic Supplier
980 PROFESSIONAL PARK DR, STE. C
CLARKSVILLE, TN 37040
Montgomery County (931) 647-5747
JOHN L STANTON M.D.
Orthopaedic Surgery
980 PROFESSIONAL PARK DR, SUITE A
CLARKSVILLE, TN 37040
Montgomery County (931) 905-1001
KEITH D. STARKWEATHER, MD, PC
Specialist
980 PROFESSIONAL PARK DR, SUITE A
CLARKSVILLE, TN 37040
Montgomery County (931) 905-1001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Middle Tennessee Imaging, LLC's NPI number?

The NPI number for Middle Tennessee Imaging, LLC is 1780123679. It was assigned to this organization in the NPPES registry on February 13, 2017. The provider is doing business as Premier Radiology Clarksville.

Where is Middle Tennessee Imaging, LLC located?

Middle Tennessee Imaging, LLC is located at 980 Professional Park Dr Suite E, Clarksville, TN 37040. The listed phone number is (931) 436-9307.

What is Middle Tennessee Imaging, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.

Does Middle Tennessee Imaging, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2092821) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Middle Tennessee Imaging, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Middle Tennessee Imaging, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Middle Tennessee Imaging, LLC was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.