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KNOXVILLE RADIOLOGICAL GROUP ASSOCIATED NPI 1881753044


NPI Information

NPI: 1881753044
Provider Name: KNOXVILLE RADIOLOGICAL GROUP ASSOCIATED
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 44D2180221

Address:
1112 E WEISGARBER RD
SUITE 201
KNOXVILLE, TN
ZIP 37909
Phone: (865) 558-9862
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KNOXVILLE RADIOLOGICAL GROUP ASSOCIATED is a diagnostic radiology radiology in Knoxville, TN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. KNOXVILLE RADIOLOGICAL GROUP ASSOCIATED NPI is 1881753044. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1112 E WEISGARBER RD
SUITE 201
KNOXVILLE, TN
ZIP 37909-647
Phone: (865) 558-9862
Fax: (865) 584-3478

The provider's authorized official is John M Royer .
The authorized official title is President and has the following contact phone number (865) 558-9862.

The CLIA number assigned to this NPI record is 44D2180221 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/6/2006 and was last updated on 3/21/2014.


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 RadiologyYes

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
13370520MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEMEDICARE GROUP NUMBER
23370520MEDICAIDTENNESSEE

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: 4/28/2024

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