MMDS, LLC (NPI# 1639278583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639278583 |
| Entity Type | Organization |
| Organization Name | MMDS, LLC |
| Other Organization Name | STAT XRAYS |
| Practice Address |
2005 Venture Park Ste 23 Kingsport TN 37660-1098 |
| Mailing Address |
Po Box 1109 Church Hill TN 37642-1109 |
| Practice Telephone | 4238630827 |
| Mailing Telephone | 4238630827 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMY M SMITH (OWNER, CEO) |
| Authorized Official Telephone | 4238630827 |
| 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 | Suppliers |
| Other Name | Type Code |
|---|---|
| STAT XRAYS | Doing Business As Name - Organization |
| Street Address |
2005 VENTURE PARK STE 23 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294691 | Medical Diagnostic Services,llc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2005 Venture Park, Ste 21, Kingsport, TN 37660-1098 | 2005-06-09 |
| 1821420985 | Growing Light Counseling, LLC | Counselor | 2005 Venture Park, Kingsport, TN 37660-1098 | 2013-07-31 |
| 1891016879 | Lauren Buchanan Bailey | Speech-Language Pathologist | 2005 Venture Park, Suite 17, Kingsport, TN 37660-1098 | 2010-06-14 |
| 1619110319 | Hope Again Counseling and Court Mediation, LLC | Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | 2009-04-09 |
| 1669613238 | Karen N Wilhjelm | Speech-Language Pathologist | 2005 Venture Park, Suite 17, Kingsport, TN 37660-1098 | 2009-03-11 |
| 1396986964 | Shelley T Bell | Speech-Language Pathologist | 2005 Venture Park, Suite 17, Kingsport, TN 37660-1098 | 2009-03-11 |
| 1962506642 | Kelly Ann Munier | Counselor | 2005 Venture Park, Kingsport, TN 37660-1098 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| 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 |
|---|---|---|---|---|
| 1033107966 | Mmds of Kingsport, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1038 S Wilcox Dr, Suite 115, Kingsport, TN 37660-5378 | 2005-10-13 |
| 1841294691 | Medical Diagnostic Services,llc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2005 Venture Park, Ste 21, Kingsport, TN 37660-1098 | 2005-06-09 |
| 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 |
| 1407967565 | Southeastern Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5004 Bayberry Dr, Knoxville, TN 37921-1401 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MMDS, LLC.
| 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.