Mmds Of Knoxville, Llc

LBN: Mmds Of Knoxville, Llc
Mmds Of Knoxville, Llc is an health care organization with primary practice located at 710 Mabry Hood Rd , Knoxville TN 37932-2661. 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 Knoxville, Llc can be contacted via phone (865) 671-6637, or through Tjader, Jeffrey G via phone (823) 250-2830.

Contact Information

Primary practice address
710 Mabry Hood Rd Knoxville TN 37932-2661
Phone: (865) 671-6637
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tjader, Jeffrey G
Phone: (823) 250-2830

Health care specialties

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

Profile Details

NPI number 1336100445
LBN Legal business name Mmds Of Knoxville, Llc
DBA Doing business as
Authorized official Tjader, Jeffrey G
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2006
Last updated Jan 14th, 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 1336100445 NPPES
Tennessee MEDICAID 3044463
Tennessee Other 3404463

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