Pediatric Radiology

LBN: Pediatric Radiology
Pediatric Radiology is an health care organization with primary practice located at 806 Estate Pl , Memphis TN 38148-0001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as the primary health care specialty. Pediatric Radiology can be contacted via phone (901) 737-3071, or through Malady, Tonya via phone (901) 737-3071.

Contact Information

Primary practice address
806 Estate Pl Memphis TN 38148-0001
Phone: (901) 737-3071
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Malady, Tonya
Phone: (901) 737-3071

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X MD6355 Tennessee

Profile Details

NPI number 1225159643
LBN Legal business name Pediatric Radiology
DBA Doing business as
Authorized official Malady, Tonya
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225159643 NPPES
Tennessee MEDICAID 3000746

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