OrganizationActive
Fayetteville Mri, LLC
NPI 1710972419 · Radiology Clinic/Center · Fayetteville, TN
Provider details
- NPI number
- 1710972419
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Gabriel, Principal(317) 634-2222
- License
- NA (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
106 Medical Center Blvd
Fayetteville, TN 37334-2684
Phone: (937) 438-7344
Street-level locationGet directions
Mailing address
4636 Lebanon Pike
Hermitage, TN 37076-1316
Registry dates
- Enumerated
- 2005-09-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.