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Lifescan Tennessee, Llc
Radiology Clinic/Center in Gray, Tennessee
NPI 1386832368

Lifescan Tennessee, Llc is a Radiology Clinic/Center based in Johnson City, TN and is specialized in Radiology. Lifescan Tennessee, Llc practices in Gray, TN. The NPI Number for Lifescan Tennessee, Llc is 1386832368 and holds a License No. ODC0000000042 (Tennessee).

The current practice location address for Lifescan Tennessee, Llc is 830 Suncrest Dr, Gray, TN and can be reached out via phone at 423-477-3026 and via fax at 423-477-2686.

Location: 830 Suncrest Dr, Gray, TN, 37604-3645
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386832368
Provider Name
Lifescan Tennessee, Llc
Credential
Provider Entity Type
Organization
Address
830 Suncrest Dr, Gray, TN, 37604-3645
Phone Number
423-477-3026
Fax Number
423-477-2686
Provider Enumeration Date
10/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3790000 05 TN
institution
Provider Business Practice Location Address Details
Address
830 Suncrest Dr
City
Gray
State
Tennessee
Zip
37615-3424
Phone Number
423-477-3026
Fax Number
423-477-2686
person
Provider Business Mailing Address Details
Address
830 Suncrest Dr
City
Gray
State
Tennessee
Zip
37615-3424
Phone Number
423-477-3026
Fax Number
423-477-2686
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
ODC0000000042 (Tennessee)
Definition
Definition to come...
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