Organization · Type 2 NPI

MMDS Idtf LLC

Physiological Laboratory · Kingsport, TN

NPI number 1629020896 Active

Practice location

1038 S Wilcox Dr, Suite 115
Kingsport, TN 37660-5378

Mailing address

PO Box 15268
Asheville, NC 28813-0268

Specialties and licenses

TaxonomyCodeLicense
Physiological Laboratory Primary 293D00000XNone 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.