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DIAGNOSTIC CENTER NPI 1649269366


NPI Information

NPI: 1649269366
Provider Name: DIAGNOSTIC CENTER
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2205 MCCALLIE AVE
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 698-2435
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DIAGNOSTIC CENTER is an internal medicine in Chattanooga, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DIAGNOSTIC CENTER NPI is 1649269366. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2205 MCCALLIE AVE
CHATTANOOGA, TN
ZIP 37404-323
Phone: (423) 698-2435
Fax: (423) 697-6110

The provider's authorized official is Mark D Estabrook .
The authorized official title is Ceo and has the following contact phone number (423) 698-2435.

The enumeration date for this NPI number is 10/14/2005 and was last updated on 8/22/2020.


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
1207R00000XInternal MedicineYes
2207RC0000XInternal MedicineCardiovascular DiseaseX
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismX
4207RI0200XInternal MedicineInfectious DiseaseX
5207RP1001XInternal MedicinePulmonary DiseaseX

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
13706505MEDICAIDTENNESSEE

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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