EAST TENNESSEE DIAGNOSTIC CENTER, LLC – NPI #1710932553
Clinic/Center
EAST TENNESSEE DIAGNOSTIC CENTER, LLC is an AHC clinic located in KNOXVILLE, TN. NPPES has assigned the NPI number 1710932553 to EAST TENNESSEE DIAGNOSTIC CENTER, LLC on May 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology
The NPI profile was last updated on Jun 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST TENNESSEE DIAGNOSTIC CENTER, LLC below.
NPI Profile for
EAST TENNESSEE DIAGNOSTIC CENTER, LLC
(more than 20 years ago)
KNOXVILLE, TN 37909-1327 Phone: (865) 584-7376 Fax: (865) 684-2619
KNOXVILLE, TN 37939-1664 Phone: (865) 584-7376 Fax: (865) 540-3856
EXECUTIVE DIRECTOR
Phone: (865) 584-7376
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Identifiers for EAST TENNESSEE DIAGNOSTIC CENTER, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | DOL | 613127900 | |
| other | RAILROAD MEDICARE | 3791655 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QR0200X - Clinic/Center / Radiology (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.