SOUTHEASTERN MOBILE IMAGING LLC (NPI# 1407967565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407967565 |
Entity Type | Organization |
Organization Name | SOUTHEASTERN MOBILE IMAGING LLC |
Practice Address |
5004 Bayberry Dr Knoxville TN 37921-1401 |
Mailing Address |
1137 Andrew Brook Ln Knoxville TN 37923-1591 |
Practice Telephone | 8652160618 |
Practice Fax Number | 4237650465 |
Mailing Telephone | 8652160618 |
Mailing Fax Number | 8656376376 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-08-29 |
Authorized Official Name | MISS JULIE M WATSON (OWNER) |
Authorized Official Telephone | 8652160618 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | NA | TN | Suppliers |
Street Address |
5004 BAYBERRY DR |
City | KNOXVILLE |
State | TN |
Zip Code | 37921-1401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
1245860352 | Keshyra Paulsha Robinson | Nurse's Aide | 1754 Texas Avenue, Knoxville, TN 37921 | 2020-01-17 |
1700435443 | Velissa Ann Caffey | Licensed Practical Nurse | 5203 Ball Camp Pk, Knoxville, TN 37921 | 2019-09-05 |
1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
1457521320 | Tamara Flowers | Advanced Practice Midwife | 1925 B Ailor Avenue, Knoxville, TN 37921 | 2008-03-07 |
1790823722 | Oxygen and Sleep Associates, Inc. | Durable Medical Equipment & Medical Supplies | 1701 Louisville Dr, Ste. 107, Knoxville, TN 37921 | 2007-02-02 |
Find all providers in zip 37921 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316050172 | East Tennessee Mobile Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5913 Wooded Acres Dr, Knoxville, TN 37921-3924 | 2006-08-16 |
1336100445 | Mmds of Knoxville, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 710 Mabry Hood Rd, Knoxville, TN 37932-2661 | 2006-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689038440 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 309 N Church Ave, Ste 5, Dyersburg, TN 38024-3013 | 2016-04-07 |
1164829347 | Tennessee Mobile Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2874 Elm Hill Pike, Nashville, TN 37214-3718 | 2014-12-03 |
1003110271 | Pri X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4040 Mountain Creek Rd, Apartment 1304, Chattanooga, TN 37415-6034 | 2011-01-03 |
1316106578 | Professional Ultrasound Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 588 Vann Ln, Manchester, TN 37355-5002 | 2008-06-03 |
1225202765 | Hometown Medical Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 635 Highway 51 S, Covington, TN 38019-2427 | 2008-04-16 |
1982885190 | Med Lifts LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1700 S Holtzclaw Ave, Chattanooga, TN 37404-4803 | 2007-11-15 |
1902934110 | Com-rad Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 339 Benwood Trl Ne, Cleveland, TN 37323-5096 | 2007-03-01 |
1467594614 | Med-way Mobile X Ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 251 Mchenry Circle, Livingston, TN 38570 | 2007-02-13 |
1245376581 | Radiographics, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2135 Hillshire Cir, Memphis, TN 38133-6074 | 2007-01-30 |
1073569901 | Professional Imaging of Tennessee | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 187 Woodbridge Rd, Somerville, TN 38068-1220 | 2006-05-25 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.