Healthcare Provider Details
I. General information
NPI: 1144400284
Provider Name (Legal Business Name): TREK RADIOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/06/2007
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1420 TUSCULUM BLVD
GREENEVILLE TN
37745-4279
US
IV. Provider business mailing address
601 DODDS AVE
CHATTANOOGA TN
37404-3911
US
V. Phone/Fax
- Phone: 423-903-6796
- Fax:
- Phone: 423-826-8220
- Fax: 423-698-3622
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARTHUR
F
ADAMS
Title or Position: PRESIDENT
Credential: MD
Phone: 423-903-6796