Organization
ADVANCED DIAGNOSTIC CENTER LLC
Active
Parent organization
MCKENZIE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCKENZIE MEDICAL CENTER
Authorized official
MRS. LISA KAY PAGE (CREDENTIALING MANAGER)
(731) 352-7907
Entity
Organization
Contact information
Practice address
205 HOSPITAL DR, SUITE C, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Mailing address
205 HOSPITAL DR, SUITE C, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/29/2011
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