Healthcare Provider Details

I. General information

NPI: 1811933344
Provider Name (Legal Business Name): TOUCHSTONE IMAGING OF HERMITAGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 06/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5045 OLD HICKORY BLVD STE 100
HERMITAGE TN
37076-2582
US

IV. Provider business mailing address

28 WHITE BRIDGE RD SUITE 111
NASHVILLE TN
37205-1499
US

V. Phone/Fax

Practice location:
  • Phone: 615-884-7674
  • Fax: 615-884-2696
Mailing address:
  • Phone: 615-356-3999
  • Fax: 615-353-0462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL MORELAND JR.
Title or Position: CHIEF MANAGER
Credential:
Phone: 615-356-5514