Provider Demographics
NPI:1831434687
Name:RHC IMAGING CENTER
Entity type:Organization
Organization Name:RHC IMAGING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-761-9121
Mailing Address - Street 1:6590 SUMMER KNOLL CV
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-2885
Mailing Address - Country:US
Mailing Address - Phone:901-761-9121
Mailing Address - Fax:
Practice Address - Street 1:6590 SUMMER KNOLL CV
Practice Address - Street 2:SUITE 102
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2885
Practice Address - Country:US
Practice Address - Phone:901-761-9121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30943261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology