MOBILE EXTREMITY MRI LLC


Address: 237 W Northfield Blvd Ste 203, Murfreesboro, TN 37129-0531
Phone: 6152250931

MOBILE EXTREMITY MRI LLC (NPI# 1710472196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710472196
Entity Type Organization
Organization Name MOBILE EXTREMITY MRI LLC
Practice Address 237 W Northfield Blvd Ste 203
Murfreesboro
TN 37129-0531
Practice Telephone 6152250931
Mailing Telephone 6152250931
Enumeration Date 2018-06-27
Last Update Date 2018-06-27
Authorized Official Name MR. RICHARD J ZIMMER III (MANAGING MEMBER)
Authorized Official Telephone 5046168066
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory Laboratories

Office Location

Street Address 237 W NORTHFIELD BLVD STE 203
City MURFREESBORO
State TN
Zip Code 37129-0531

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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

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 laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

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NPI Name Taxonomy Address Enumeration
1144299306 Insight Health Corp Physiological Laboratory 1001 N Highland Ave, Murfreesboro, TN 37130-2450 2006-03-17

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1417353970 Scltdi Jv, LLC Physiological Laboratory 1431 Perrone Way, Franklin, TN 37069-4243 2014-11-11
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Competitor

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City MURFREESBORO
Zip Code 37129

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Dataset Information

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.

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