44D2241643 CLIA NUMBER - CHI MEMORIAL ENDOCRINOLOGY ASSOCIATES

Laboratory Demographics

CLIA Number: 44D2241643

Facility Name: CHI MEMORIAL ENDOCRINOLOGY ASSOCIATES

Facility Address:
725 GLENWOOD DRIVE, SUITE E-588
CHATTANOOGA, TN
ZIP 37404
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Facility Phone Number: 423 206-9025

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730707472

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	44D2241643
LAB Type	Physician Office
Facility Name	CHI MEMORIAL ENDOCRINOLOGY ASSOCIATES
Street	725 GLENWOOD DRIVE, SUITE E-588
City	CHATTANOOGA
State	TN
ZIP	37404
Phone	423 206-9025
CertificateType	4
CertificateEffectiveDate	11/1/2023
CertificateExpirationDate	10/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024