Organization
SOUTHEASTERN MOBILE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JULIE M WATSON (OWNER)
(865) 216-0618
Entity
Organization
Contact information
Practice address
5004 BAYBERRY DR, KNOXVILLE, TN 37921-1401
(865) 216-0618
(423) 765-0465
Mailing address
1137 ANDREW BROOK LN, KNOXVILLE, TN 37923-1591
(865) 216-0618
(865) 637-6376
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
NA
TN
Other
Enumeration date
08/31/2006
Last updated
08/29/2007
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