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Organization

MCMINN MEDICAL IMAGING, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN LEMINGS MD (RADIOLOGIST; PRESIDENT)
(423) 744-3256
Entity
Organization

Contact information

Practice address
1114 W MADISON AVE, ATHENS, TN 37303-4150
(423) 744-3256
(423) 746-1484
Mailing address
PO BOX 843, ATHENS, TN 37371-0843
(423) 744-3256
(423) 746-1484

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD10736
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2006167
BLUECROSS BLUESHEILD TN
TN
01
3383885
MEDICARE
TN
05
3383885
TN
01
CD8301
RAILROAD MEDICARE
TN
Enumeration date
07/12/2006
Last updated
01/08/2009
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