Provider Demographics
NPI:1235548520
Name:WOMENS IMAGING SOLUTIONS PLC
Entity type:Organization
Organization Name:WOMENS IMAGING SOLUTIONS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:DEROCHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-459-2051
Mailing Address - Street 1:300 STONECREST BLVD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-5688
Mailing Address - Country:US
Mailing Address - Phone:615-459-2051
Mailing Address - Fax:615-459-2061
Practice Address - Street 1:300 STONECREST BLVD
Practice Address - Street 2:SUITE 290
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-5688
Practice Address - Country:US
Practice Address - Phone:615-459-2051
Practice Address - Fax:615-459-2061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty