# TRINITY MOBILE X-RAY

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

## Provider details

- **NPI number:** 1851641567
- **Authorized official:** TIMOTHY LEE RUSSELL R.T. (OWNER/OPERATOR)
- **Authorized official phone:** (615) 522-1094

## Contact information

- **Practice address:** 6431 WADE SPRINGS RD, MURFREESBORO, TN 37130-8719
- **Practice address phone:** (615) 522-1094
- **Mailing address:** 6431 WADE SPRINGS RD, MURFREESBORO, TN 37130-8719
- **Mailing address phone:** (615) 522-1094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | — | NULL | — |
| 247100000X | Radiologic Technologist | — | — | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2012
- **Last updated:** 09/23/2016