Organization
METROAMERICAN RADIOLOGY CONSULTANTS P A
Active
Organization
METROAMERICAN RADIOLOGY CONSULTANTS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALAN TAYLOR (SENIOR VICE PRESIDENT)
(865) 985-7180
Entity
Organization
Contact information
Practice address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 985-7185
(865) 560-7379
Mailing address
P O BOX 635001, CINCINNATI, OH 45263-5001
(865) 985-7185
(865) 692-3390
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215752
ANTHEM BCBS
ID
05
—
200387190B
—
IN
01
—
605948801
FECA, BLACK LUNG, ENERGY
GA
01
—
CJ9013
RAILROAD MCARE
IN
01
—
DC7006
RAILROAD
GA
Enumeration date
07/10/2006
Last updated
05/16/2008
Update your record
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