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Organization

ASSOCIATES IN DIAGNOSTIC RADIOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUE KILPATRICK (COO)
(423) 553-1220
Entity
Organization

Contact information

Practice address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(423) 493-1387
(423) 553-1224
Mailing address
PO BOX 3145, INDIANAPOLIS, IN 46206-3145
(855) 206-8406
(855) 823-8132

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000038002
AL
01
2006511
BC/BS OF TN
TN
01
221822
BLACK LUNG
TN
05
3373921
TN
05
8901079
NC
Enumeration date
03/24/2006
Last updated
07/21/2022
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