Healthcare Provider Details

I. General information

NPI: 1871590695
Provider Name (Legal Business Name): OAK RIDGE MEDICAL IMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

944 OAK RIDGE TPKE SUITE 300
OAK RIDGE TN
37830-6959
US

IV. Provider business mailing address

PO BOX 10848
KNOXVILLE TN
37939-0848
US

V. Phone/Fax

Practice location:
  • Phone: 865-481-1904
  • Fax: 865-450-9374
Mailing address:
  • Phone: 865-481-1904
  • Fax: 865-450-9374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateTN

VIII. Authorized Official

Name: JAMES I HILTON
Title or Position: PRESIDENT
Credential: MD
Phone: 865-481-1904