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NPI Code Detail

MEDICARE: ONE HUNDRED OAKS IMAGING, LLC

MEDICARE: ONE HUNDRED OAKS IMAGING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2363LA2100XAcute Care Nurse Practitioner
3363LW0102XWomen's Health Nurse Practitioner
4363LG0600XGerontology Nurse Practitioner
52085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1245485549
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONE HUNDRED OAKS IMAGING, LLC
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 719 THOMPSON LN
Second Line : SUITE 23300
City : NASHVILLE
State : TN
Zip : 37204-3609
Country : US
Telephone Number : 615-936-3606
Fax Number : 615-936-5343
Authorized Official
Title or Position : PRESIDENT
Name : EMILY B JACKSON
Credential :
Telephone Number : 615-936-3606
Provider Enumeration Date : 12/01/2008
Last Update Date : 03/06/2026

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Directions to “ONE HUNDRED OAKS IMAGING, LLC ” Practice Location

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