Advanced Diagnostic Center LLC
Organization Active NPI Radiology Clinic/Center · MC Kenzie, TN
NPI 1033418447 · NPPES record last updated Mar 29, 2011
Key facts
- NPI
- 1033418447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- ADVANCED DIAGNOSTIC CENTER LLC
- Practice address
- 205 Hospital Dr
Suite C
MC Kenzie, TN 38201-1649 - Phone
- (731) 352-7907
- Fax
- (731) 352-4459
- NPI assigned
- Mar 24, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- MCKENZIE MEDICAL CENTER
Authorized official
- Name
- Mrs. Lisa Kay Page
- Title
- Credentialing Manager
- Phone
- (731) 352-7907
National Provider Directory
- Part of
- McKenzie Medical Center Lab
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
205 Hospital Dr
Suite C
MC Kenzie, TN 38201-1649
Mailing address
205 Hospital Dr
Suite C
MC Kenzie, TN 38201-1649
Phone (731) 352-7907
Other providers in MC Kenzie, TN
- A Place Called Home
- Mallory Akin
- Anna Anderson
- Malissa Anderson
- Sylvia Ifeyinwa Anunobi
- Holly Anne Arnold
All providers in MC Kenzie, TN · Radiology Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.