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Mmds Of Kingsport, Llc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Kingsport, Tennessee
NPI 1033107966

Mmds Of Kingsport, Llc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Kingsport, TN. Mmds Of Kingsport, Llc practices in Kingsport, TN. The NPI Number for Mmds Of Kingsport, Llc is 1033107966 and holds a License No. (Tennessee).

The current practice location address for Mmds Of Kingsport, Llc is 1038 S Wilcox Dr, Kingsport, TN and can be reached out via phone at 423-230-8093 and via fax at 423-230-4932.

Location: 1038 S Wilcox Dr, Kingsport, TN, 37660-5378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033107966
Provider Name
Mmds Of Kingsport, Llc
Credential
Provider Entity Type
Organization
Address
1038 S Wilcox Dr, Kingsport, TN, 37660-5378
Phone Number
423-230-8093
Fax Number
423-230-4932
Provider Enumeration Date
10/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00237335 01 MEDICARE RAIL ROAD
institution
Provider Business Practice Location Address Details
Address
1038 S Wilcox Dr
City
Kingsport
State
Tennessee
Zip
37660-5378
Phone Number
423-230-8093
Fax Number
423-230-4932
person
Provider Business Mailing Address Details
Address
1038 S Wilcox Dr
City
Kingsport
State
Tennessee
Zip
37660-5378
Phone Number
423-230-8093
Fax Number
423-230-4932
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
()
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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