Organization
DIALYSIS CLINIC INC
Active
Other names
DCI Transplant Laboratory Knoxville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
1024 ALCOA HIGHWAY, KNOXVILLE, TN 37920
(865) 544-9466
(865) 544-6859
Mailing address
1024 ALCOA HIGHWAY, 6TH FLOOR MEDICAL CENTER NORTH, KNOXVILLE, TN 37920
(865) 544-9466
(865) 544-6859
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
TN 2163
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-3-TN-08-1
ASHI LAB ID
TN
01
—
44D0659269
CLIA
TN
01
—
TN 2163
STATE LICENSE
TN
Enumeration date
06/17/2005
Last updated
10/04/2023
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