Organization
TRINITY MOBILE X-RAY
Active
Organization
TRINITY MOBILE X-RAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LEE RUSSELL R.T. (OWNER/OPERATOR)
(615) 522-1094
Entity
Organization
Contact information
Practice address
6431 WADE SPRINGS RD, MURFREESBORO, TN 37130-8719
(615) 522-1094
Mailing address
6431 WADE SPRINGS RD, MURFREESBORO, TN 37130-8719
(615) 522-1094
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
09/23/2016
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