Organization
HOLSTON VALLEY IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE POPE (ATTORNEY)
(423) 224-4000
Entity
Organization
Contact information
Practice address
103 W STONE DR, KINGSPORT, TN 37660-3220
(423) 224-4060
Mailing address
3053 W STATE ST, BRISTOL, TN 37620-1720
(423) 224-4060
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
ODC 24
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3791370
—
TN
Enumeration date
07/12/2006
Last updated
07/13/2007
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