Molecular Imaging Alliance Of Tennessee

LBN: Lifescan Tennessee, Llc
Molecular Imaging Alliance Of Tennessee is an health care organization with primary practice located at 830 Suncrest Dr Unit 2, Gray TN 37615-3424. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Lifescan Tennessee, Llc can be contacted via phone (423) 477-3026, or through Gregory, Robert via phone (423) 477-3026.

Contact Information

Primary practice address
830 Suncrest Dr Unit 2 Gray TN 37615-3424
Phone: (423) 477-3026
Fax: (423) 477-2686
Website:
Map and Directions
Authorized official contact:
Name: Gregory, Robert
Phone: (423) 477-3026

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X ODC0000000042 Tennessee

Profile Details

NPI number 1386832368
LBN Legal business name Lifescan Tennessee, Llc
DBA Doing business as Molecular Imaging Alliance Of Tennessee
Authorized official Gregory, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2007
Last updated Sep 20th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386832368 NPPES
Tennessee MEDICAID 3790000

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