Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tennessee Innovative Medical Services PLLC

Organization Vascular & Interventional Radiology Physician · NPI 1114285400

Tennessee Innovative Medical Services PLLC is a Vascular & Interventional Radiology Physician in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

116 Concord Rd Ste 400
Knoxville, TN 37934-2940
Phone: (865) 777-6880
Fax: (865) 777-6881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X (TN)

Record details

NPI number1114285400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Funderburk — Sole Owner · (865) 777-6880
NPI enumeratedApril 25, 2012
Last updated in NPPESJuly 2, 2012
Mailing address194 Market Place Blvd, Knoxville, TN 37922-2337

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