Provider Demographics
NPI:1578581294
Name:WILLIAMSON IMAGING, LLC
Entity Type:Organization
Organization Name:WILLIAMSON IMAGING, LLC
Other - Org Name:VANDERBILT IMAGING SERVICES COOL SPRINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-936-6001
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2009 MALLORY LN
Practice Address - Street 2:SUITE 150
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2845
Practice Address - Country:US
Practice Address - Phone:615-771-8668
Practice Address - Fax:615-771-9298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODC00000000182085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN=========OtherTAX ID
TN3373682Medicare ID - Type UnspecifiedWI GROUP MEDICARE