Organization
THERATECH HOLDINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G MCCLELLAN (MEMBER)
(615) 665-8220
Entity
Organization
Contact information
Practice address
40 BURTON HILLS BLVD, SUITE 320, NASHVILLE, TN 37215-6155
(615) 665-8220
(615) 665-8228
Mailing address
40 BURTON HILLS BLVD, SUITE 320, NASHVILLE, TN 37215-6155
(615) 665-8220
(615) 665-8228
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7129885
—
WA
01
—
P00289319
RAILROAD MEDICARE
WA
Enumeration date
05/17/2007
Last updated
08/22/2020
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