Organization
MONKS IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MONKS RT (OWNER/RT)
(931) 438-9085
Entity
Organization
Contact information
Practice address
108 MEDICAL CENTER BLVD, BOX 7, FAYETTEVILLE, TN 37334-2741
(931) 438-9085
(931) 438-0960
Mailing address
108 MEDICAL CENTER BLVD, PO BOX 7, FAYETTEVILLE, TN 37334-2741
(931) 438-9085
(931) 438-0960
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
MDX0000003440
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3790647
—
TN
01
—
4011132
BCBS
TN
Enumeration date
10/11/2006
Last updated
01/06/2012
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