Smokey Mountain Diagnostics

LBN: Smokey Mountain Diagnostics
Smokey Mountain Diagnostics is an health care organization with primary practice located at 710 Mabry Hood Rd , Knoxville TN 37932-2661. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as the primary health care specialty. Smokey Mountain Diagnostics can be contacted via phone (865) 671-6637, or through Tjader, Jeff via phone (865) 671-6637.

Contact Information

Primary practice address
710 Mabry Hood Rd Knoxville TN 37932-2661
Phone: (865) 671-6637
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tjader, Jeff
Phone: (865) 671-6637

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1700977915
LBN Legal business name Smokey Mountain Diagnostics
DBA Doing business as
Authorized official Tjader, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Jan 14th, 2008 - about 18 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 1700977915 NPPES
Tennessee Other 3791637 MEDICARE

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