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Contact Information

SMOKEY MOUNTAIN DIAGNOSTICS
710 MABRY HOOD RD
KNOXVILLE, TN37932-2661
 Phone: 865-671-6637
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for SMOKEY MOUNTAIN DIAGNOSTICS

NPI Number 1700977915
LBN Legal business name SMOKEY MOUNTAIN DIAGNOSTICS
Authorized official JEFF TJADER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2006
Last updated 01/14/2008 - About 18 years ago
Identifiers
TN Other 3791637 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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