Mmds Of Kingsport, Llc

LBN: Mmds Of Kingsport, Llc
Mmds Of Kingsport, Llc is an health care organization with primary practice located at 1038 S Wilcox Dr Suite 115, Kingsport TN 37660-5378. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. Mmds Of Kingsport, Llc can be contacted via phone (423) 230-8093, or through Williams, Lloyd M. via phone (423) 230-8093.

Contact Information

Primary practice address
1038 S Wilcox Dr Suite 115 Kingsport TN 37660-5378
Phone: (423) 230-8093
Fax: (423) 230-4932
Website:
Map and Directions
Authorized official contact:
Name: Williams, Lloyd M.
Phone: (423) 230-8093

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Profile Details

NPI number 1033107966
LBN Legal business name Mmds Of Kingsport, Llc
DBA Doing business as
Authorized official Williams, Lloyd M.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2005
Last updated Oct 15th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033107966 NPPES
Other P00237335 MEDICARE RAIL ROAD

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