Organization
VISION KY IDTF, LLC
Active
Parent organization
MMDS OF NORTH CAROLINA, INC
Other names
MMDS Mobile X-Ray IDTF
Organization subpart
Yes
Provider details
NPI number
Legal business name
MMDS OF NORTH CAROLINA, INC
Authorized official
AMY BROOKMAN (CORPORATE BUSINESS DEVELOPMENT)
(423) 480-4087
Entity
Organization
Contact information
Practice address
7321 NEW LA GRANGE RD, SUITE 112, LOUISVILLE, KY 40222-4800
(828) 242-0640
Mailing address
3011 HARRAH DR, SUITE L, SPRING HILL, TN 37174-6252
(423) 480-4087
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
02/11/2016
Last updated
03/02/2016
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