Organization · Type 2 NPI
Lifescan Tennessee, LLC
Radiology Clinic/Center · Gray, TN
NPI number
1386832368
Active
Practice location
830 Suncrest Dr, Unit 2
Gray, TN 37615-3424
Fax (423) 477-2686
Mailing address
701 N State Of Franklin Rd, Suite 1
Johnson City, TN 37604-3645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | ODC0000000042 (TN) |
Radiology Clinic/Center: Definition to come...
About NPI 1386832368
Lifescan Tennessee, LLC's National Provider Identifier is 1386832368, issued on Oct 4, 2007. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Gray, TN. The record was last updated on Sep 20, 2013.