Organization Name: | DIAGNOSTIC HEALTH CENTERS OF TENNESSEE, LLC |
NPI Number: | 1295784833 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM P BAKER (CFO/SECRETARY) |
Mailing Address: | 5130 Stage Rd Memphis |
State: | TN US |
Postal Code: | 381343164 |
Phone Number: | 9013852636 |
Fax Number: | 9013850550 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 04/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | ODC0000000039 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |