Provider Demographics
NPI:1710295563
Name:SUMNER IMAGING, LLC
Entity Type:Organization
Organization Name:SUMNER IMAGING, LLC
Other - Org Name:SUMNER BREAST IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-550-6005
Mailing Address - Street 1:840 CRESCENT CENTRE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4626
Mailing Address - Country:US
Mailing Address - Phone:615-550-6049
Mailing Address - Fax:615-550-6004
Practice Address - Street 1:201 N ANDERSON LN
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-6938
Practice Address - Country:US
Practice Address - Phone:615-550-6009
Practice Address - Fax:615-550-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty