Advanced Diagnostic Center LLC

NPI #1033418447 in Mc Kenzie, Tennessee

Provider Information

NPI Number
1033418447
Entity Type
Organization
Organization Name
Advanced Diagnostic Center LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MCKENZIE MEDICAL CENTER
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Mar 24, 2011
Last Updated
Mar 29, 2011

Practice Location

Address
205 HOSPITAL DR
Address 2
SUITE C
ZIP Code
38201-1649
Phone
(731) 352-7907

Authorized Official

Name
MRS. LISA KAY PAGE
Title
CREDENTIALING MANAGER
Phone
(731) 352-7907

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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