Organization
WELLMONT MEDICAL ASSOCIATES, INC.
Active
Other names
Ballad Health Imaging Center, Johnson City
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN KRUTAK (EVP/CFO)
(423) 302-3423
Entity
Organization
Contact information
Practice address
301 MED TECH PKWY, JOHNSON CITY, TN 37604-2630
(423) 302-6239
(423) 302-6248
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2080
(423) 302-6239
(423) 302-6248
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/21/2021
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