Provider Demographics
NPI:1053330266
Name:PHYSICIANS PLAZA IMAGING OF BARTLETT, PLC
Entity Type:Organization
Organization Name:PHYSICIANS PLAZA IMAGING OF BARTLETT, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-904-0455
Mailing Address - Street 1:PO BOX 332502
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37133-2502
Mailing Address - Country:US
Mailing Address - Phone:615-904-0455
Mailing Address - Fax:615-904-6821
Practice Address - Street 1:7865 EDUCATORS LN STE 200
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-8191
Practice Address - Country:US
Practice Address - Phone:615-904-0455
Practice Address - Fax:615-904-6821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty