COVENANT HEALTH DIAGNOSTIC CENTERS, LLC (NPI# 1255950895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255950895 |
| Entity Type | Organization |
| Organization Name | COVENANT HEALTH DIAGNOSTIC CENTERS, LLC |
| Practice Address |
100 Fort Sanders West Blvd Ste 100 Knoxville TN 37922-3353 |
| Mailing Address |
1420 Centerpoint Blvd Bldg C Knoxville TN 37932-1960 |
| Practice Telephone | 8655315400 |
| Mailing Telephone | 8653743000 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | JOHN GEPPI (CFO) |
| Authorized Official Telephone | 8653746891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
100 FORT SANDERS WEST BLVD STE 100 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689622003 | Diagnostic Health Centers of Tennessee, LLC | Physiological Laboratory | 601 Hall of Fame Dr, Knoxville, TN 37915-3666 | 2006-05-05 |
| 1700977915 | Smokey Mountain Diagnostics | Physiological Laboratory | 710 Mabry Hood Rd, Knoxville, TN 37932-2661 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841838174 | Tenn Ndx LLC | Physiological Laboratory | 1113 Murfreesboro Rd Ste 106-314, Franklin, TN 37064-1306 | 2019-12-17 |
| 1710472196 | Mobile Extremity Mri LLC | Physiological Laboratory | 237 W Northfield Blvd Ste 203, Murfreesboro, TN 37129-0531 | 2018-06-27 |
| 1417353970 | Scltdi Jv, LLC | Physiological Laboratory | 1431 Perrone Way, Franklin, TN 37069-4243 | 2014-11-11 |
| 1770638280 | Strategies Management Group | Physiological Laboratory | 1217 Hatcher Ln, Columbia, TN 38401 | 2007-01-24 |
| 1043371834 | Mobile Ultrasound Services Inc | Physiological Laboratory | 5130 Wheelis Dr, Suite 1, Memphis, TN 38117-4520 | 2006-12-13 |
| 1295745867 | Respiratory Care Consulting Services, Inc. | Physiological Laboratory | 604 Burton Dr, Franklin, TN 37067-5008 | 2006-08-08 |
| 1205840204 | Telerhythmics, LLC | Physiological Laboratory | 60 Market Center Dr, Suite 101, Collierville, TN 38017-6914 | 2006-07-28 |
| 1912936139 | Sleep Labs of The South LLC | Physiological Laboratory | 1600 Clingan Ridge Dr Nw, Cleveland, TN 37312-3652 | 2006-07-01 |
| 1114953700 | Nvms of Kentucky LLC | Physiological Laboratory | 100 Bluegrass Commons Blvd, Ste 150, Hendersonville, TN 37075-2737 | 2006-06-24 |
| 1881638906 | Kirk L. Pyle | Physiological Laboratory | 118 Public Square East, Waynesboro, TN 38485-1202 | 2006-06-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.