# SOUTHEASTERN MOBILE IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407967565
- **Authorized official:** MISS JULIE M WATSON (OWNER)
- **Authorized official phone:** (865) 216-0618

## Contact information

- **Practice address:** 5004 BAYBERRY DR, KNOXVILLE, TN 37921-1401
- **Practice address phone:** (865) 216-0618
- **Practice address fax:** (423) 765-0465
- **Mailing address:** 1137 ANDREW BROOK LN, KNOXVILLE, TN 37923-1591
- **Mailing address phone:** (865) 216-0618
- **Mailing address fax:** (865) 637-6376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | NA | TN | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/29/2007