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DIAGNOSTIC HEALTH CENTERS OF TENNESSEE LLC NPI 1689622003


NPI Information

NPI: 1689622003
Provider Name: DIAGNOSTIC HEALTH CENTERS OF TENNESSEE, LLC

Doing Business As: OUTPATIENT DIAGNOSTIC CENTER OF KNOXVILLE

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization

CLIA Number: 44D1098561

Address:
601 HALL OF FAME DR
KNOXVILLE, TN
ZIP 37915
Phone: (865) 525-7100
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DIAGNOSTIC HEALTH CENTERS OF TENNESSEE, LLC is a physiological laboratory in Knoxville, TN. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. DIAGNOSTIC HEALTH CENTERS OF TENNESSEE, LLC NPI is 1689622003. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Outpatient Diagnostic Center Of Knoxville.

The provider's business location address is:

601 HALL OF FAME DR
KNOXVILLE, TN
ZIP 37915-666
Phone: (865) 525-7100
Fax: (865) 971-4719

The provider's authorized official is William P Baker .
The authorized official title is Cfo/secretary and has the following contact phone number (615) 550-6044.

The CLIA number assigned to this NPI record is 44D1098561 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 6/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyNo
2293D00000XPhysiological LaboratoryODC0000000037TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11505360MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.