Southern Tennessee Radiology

LBN: Southern Tennessee Radiology
Southern Tennessee Radiology is an health care organization with primary practice located at 185 Hospital Rd , Winchester TN 37398. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Southern Tennessee Radiology can be contacted via phone (866) 457-9896, or through Ellis, Paul D via phone (866) 457-9896.

Contact Information

Primary practice address
185 Hospital Rd Winchester TN 37398
Phone: (866) 457-9896
Fax: (706) 226-2283
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Paul D Doctor of Medicine (MD)
Phone: (866) 457-9896

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1487680732
LBN Legal business name Southern Tennessee Radiology
DBA Doing business as
Authorized official Ellis, Paul D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Oct 23rd, 2007 - about 17 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 1487680732 NPPES
Tennessee MEDICAID 3732584
Tennessee Other DE2147

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