Provider Demographics
NPI:1619071214
Name:RADS OF AMERICA, LLC
Entity Type:Organization
Organization Name:RADS OF AMERICA, LLC
Other - Org Name:PREMIER RADIOLOGY PAIN MANAGEMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOC. VP, PROVIDER ENROLLMENT
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:M
Authorized Official - Last Name:CASSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-724-8477
Mailing Address - Street 1:PO BOX 440487
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0487
Mailing Address - Country:US
Mailing Address - Phone:615-851-6033
Mailing Address - Fax:615-994-8488
Practice Address - Street 1:28 WHITE BRIDGE RD STE 104
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205
Practice Address - Country:US
Practice Address - Phone:615-356-3999
Practice Address - Fax:615-353-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3739697Medicaid
TN4111746OtherBCBS
TNP00265068OtherRAILROAD MEDICARE
TN3739697Medicare PIN