Clarksville Imaging Center LLC
NPI 1043285539ActiveOrganization· Radiology, Diagnostic Radiology· Clarksville, TN
Radiology, Diagnostic Radiology in Clarksville, Tennessee, registered in NPPES in February 2006. The authorized official on file is Karen Marie Vaughn, Ao. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1043285539 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2006 |
| Last updated in NPPES | Mar 25, 2026 |
| Certified by provider | Mar 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
| Specialist | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (WI); Part B Supplier - Clinic/Group Practice (WV); Part B Supplier - Clinic/Group Practice (WY) |
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