Active NPI
Chattanooga Diagnostic Imaging
- Specialist
- Chattanooga, TN
National Provider Identifier
1013947464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CHATTANOOGA DIAGNOSTIC IMAGING
- Practice address
- 440 N Holtzclaw Ave
Chattanooga, TN 37404-1916 - Phone
- (423) 698-5561
- Fax
- (423) 629-9068
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel J Schaefer
- Title
- Coo
- Phone
- (770) 300-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | TN | Primary |
Addresses
Primary practice location
440 N Holtzclaw Ave
Chattanooga, TN 37404-1916
Mailing address
4300 N Point Pkwy
Credentialing Dept
Alpharetta, GA 30022-4101
Phone (770) 300-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077166 | Other | TN | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184284800000",
"number": "1013947464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 N POINT PKWY",
"address_2": "CREDENTIALING DEPT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300224101",
"telephone_number": "770-300-0101",
"fax_number": "770-300-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 N HOLTZCLAW AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041916",
"telephone_number": "423-698-5561",
"fax_number": "423-629-9068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHATTANOOGA DIAGNOSTIC IMAGING",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-13",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "770-300-0101",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3077166",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
- Chattanooga Comprehensive Care PLLC
- Chattanooga Counseling and Consulting
- Chattanooga DBT, LLC
- Chattanooga Dermatology PLLC
- Chattanooga Diagnostic Associates LLC
- Chattanooga Durable Medical Equipment, LLC
- Chattanooga Ear Nose & Throat Assoc., P.C.
- Chattanooga Emergency Medicine PLLC
- Chattanooga Endoscopy ASC LLC
- Chattanooga Eye Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.