MEDICARE: IMAGING ALLIANCE NASHVILLE PET 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
1	261QR0200X	Radiology Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285619270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMAGING ALLIANCE NASHVILLE PET LLC

Provider Business Mailing Address
First Line	:	PO BOX 440070
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37244-0070
Country	:	US
Telephone Number	:	615-312-0600
Fax Number	:	615-320-3259

Provider Business Practice Location Address
First Line	:	4220 HARDING PIKE STE 101
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-2005
Country	:	US
Telephone Number	:	615-354-1255
Fax Number	:	615-354-9806

Authorized Official
Title or Position	:	COO
Name	:	MR. WARREN ALEXANDER
Credential	:
Telephone Number	:	615-329-0570

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	02/17/2026

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