CLEVELAND RADIOLOGY ASSOCIATES PC NPI 1174552202

NPI Information

NPI: 1174552202
Provider Name: CLEVELAND RADIOLOGY ASSOCIATES, PC

Other Name: BRADLEY REG. PET IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2370 N OCOEE ST
CLEVELAND, TN
ZIP 37311
Phone: (423) 479-6214
Get Directions

CLEVELAND RADIOLOGY ASSOCIATES, PC is a diagnostic radiology radiology in Cleveland, TN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CLEVELAND RADIOLOGY ASSOCIATES, PC NPI is 1174552202. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Bradley Reg. Pet Imaging.

The provider's business location address is:

2370 N OCOEE ST
CLEVELAND, TN
ZIP 37311-850
Phone: (423) 479-6214
Fax: (423) 614-4405

The provider's authorized official is Roger D Miller .
The authorized official title is Partner and has the following contact phone number (423) 479-6214.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 10/14/2010.

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
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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
1	3373976	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	GROUP NUMBER

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

NPI Synchronization or Removal

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