Organization · Type 2 NPI
MMDS Idtf LLC
Physiological Laboratory · Kingsport, TN
Practice location
1038 S Wilcox Dr, Suite 115
Kingsport, TN 37660-5378
Mailing address
PO Box 15268
Asheville, NC 28813-0268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physiological Laboratory Primary | 293D00000X | None listed |
Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…
Another provider at this address
About NPI 1629020896
MMDS Idtf LLC's National Provider Identifier is 1629020896, issued on May 16, 2006. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Kingsport, TN. The record was last updated on Aug 22, 2020.