Organization
CHATTANOOGA DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
440 N HOLTZCLAW AVE, CHATTANOOGA, TN 37404-1916
(423) 698-5561
(423) 629-9068
Mailing address
4300 N POINT PKWY, CREDENTIALING DEPT, ALPHARETTA, GA 30022-4101
(770) 300-0101
(770) 300-0429
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3077166
BCBS
TN
Enumeration date
07/03/2006
Last updated
07/13/2007
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