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PLAZA RADIOLOGYLLC NPI 1609836584


NPI Information

NPI: 1609836584
Provider Name: PLAZA RADIOLOGY,LLC

Doing Business As: CHATTANOOGA IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1710 GUNBARREL RD
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 553-1220
Get Directions

PLAZA RADIOLOGY,LLC is a diagnostic radiology radiology in Chattanooga, TN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PLAZA RADIOLOGY,LLC NPI is 1609836584. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chattanooga Imaging.

The provider's business location address is:

1710 GUNBARREL RD
CHATTANOOGA, TN
ZIP 37421-127
Phone: (423) 553-1220
Fax: (423) 553-1224

The provider's authorized official is Sue Kilpatrick .
The authorized official title is Coo and has the following contact phone number (423) 553-1220.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 1/18/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology=========TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10198087OTHERTENNESSEEBC/BS OF TN
23716643MEDICARE PINTENNESSEE
33716643MEDICAIDTENNESSEE
4008603740MEDICAIDALABAMA
5CC9416MEDICARE PINTENNESSEE
6833340OTHERTENNESSEEBLACK LUNG

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: 11/14/2023

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