Organization Active NPI

Fortress Corporation

Doing business as Ft Sanders West Diagnostic Center

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1558338798
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FORTRESS CORPORATION
Doing business as
Ft Sanders West Diagnostic Center
Practice address
210 Fort Sanders West Blvd
BLDG 3 Suite 100
Knoxville, TN 37922-3355
Phone
(865) 531-5400
Fax
(865) 531-5043
NPI assigned
Mar 7, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leslie Irwin
Title
Vice President-Fortress Corp
Phone
(865) 531-5248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X TN Primary

Addresses

Primary practice location

210 Fort Sanders West Blvd
BLDG 3 Suite 100
Knoxville, TN 37922-3355

Mailing address

210 Fort Sanders West Blvd
BLDG 3 Suite 100
Knoxville, TN 37922-3355
Phone (865) 531-5400

Other names 1

  • Ft Sanders West Diagnostic Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558338798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FORT SANDERS WEST BLVD",
            "address_2": "BLDG 3 SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223355",
            "telephone_number": "865-531-5400",
            "fax_number": "865-531-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FORT SANDERS WEST BLVD",
            "address_2": "BLDG 3 SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223355",
            "telephone_number": "865-531-5400",
            "fax_number": "865-531-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTRESS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "VICE PRESIDENT-FORTRESS CORP",
        "authorized_official_telephone_number": "865-531-5248"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ft Sanders West Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.