Blue Ridge Radiology, P.C. in Bristol - Diagnostic Radiology

Blue Ridge Radiology, P.C. - NPI 1881687689

Blue Ridge Radiology, P.C. is a Diagnostic Radiology in Bristol, Tennessee. Blue Ridge Radiology, P.C. practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Blue Ridge Radiology, P.C. is 1881687689. The last update date is 2019-05-15.

Blue Ridge Radiology, P.C.'s current location address is 3053 W State St, Bristol, Tennessee. You can contact this provider via phone number 4239681144 and fax number 4239683453. The mailing address for Blue Ridge Radiology, P.C. is 3053 W State St, Bristol, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Blue Ridge Radiology, P.C.
Address 3053 W State St, Bristol, Tennessee
Phone Number 4239681144
Fax Number 4239683453
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CREDENTIAL
Authorized Official Name Lucas Kris
Telephone Number 4235739062

NPI Number Detail

NPI Number 1881687689
Provider Enumeration Date 2005-08-26
Last Updated Date 2019-05-15

Provider Mailing Address Detail

Address 3053 W State St
City Bristol
State Tennessee (TN)
Post Code 376201720
Phone Number 4239681144
Fax Number 4239683453

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
242032 VA ANTHEM
CD5029 PGBA (RR MEDICARE)
1521046 UMWA
373437500 DOL
23464700 BLACK LUNG

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FAQs about Blue Ridge Radiology, P.C.

What is the unique 10-digit identification code issued to Blue Ridge Radiology, P.C. by the Centers for Medicare & Medicaid Services?

The Blue Ridge Radiology, P.C. has been assigned the NPI (National Provider Identifier) 1881687689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Blue Ridge Radiology, P.C.'s facilities are situated?

The facilities of Blue Ridge Radiology, P.C. are physically located at the following address: 3053 W State St, Bristol, TN, 376201720.

What is Blue Ridge Radiology, P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Blue Ridge Radiology, P.C. is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services issue the 1881687689 to Blue Ridge Radiology, P.C.?

The Blue Ridge Radiology, P.C. received its 1881687689 assignment from the Centers for Medicare & Medicaid Services on 2005-08-26.

As of what date were the Blue Ridge Radiology, P.C.'s details last updated?

The information pertaining to the Blue Ridge Radiology, P.C., including its address, specialty, and other details, was most recently updated on 2019-05-15.

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