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MMDS IDTF LLC
NPI 1629020896
Physiological Laboratory in Kingsport, TN

Active since May 16, 2006
1038 S WILCOX DR, SUITE 115, KINGSPORT, TN 37660(423) 230-8093 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mmds Idtf Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MMDS IDTF LLC (NPI 1629020896) is a healthcare organization registered as a physiological laboratory in Kingsport, Tennessee and active in the NPI registry since May 2006. The organization lists Lloyd Williams, Director, as its authorized official.

NPPES Registry Identity

NPI1629020896
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameMMDS IDTF LLC
Location Address1038 S WILCOX DR, SUITE 115Kingsport, TN 37660-5378
Mailing AddressPo Box 15268Asheville, NC 28813-0268
Phone(423) 230-8093
Organization SubpartNo
Authorized OfficialLloyd WilliamsDirector · (423) 230-8093
Enumeration DateMay 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629020896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
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.
1038 S WILCOX DR, Kingsport, TN 37660
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MMDS OF KINGSPORT, LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
1038 S WILCOX DR, SUITE 115
KINGSPORT, TN 37660
Sullivan County (423) 230-8093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mmds Idtf LLC's NPI number?

The NPI number for Mmds Idtf LLC is 1629020896. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Mmds Idtf LLC located?

Mmds Idtf LLC is located at 1038 S Wilcox Dr Suite 115, Kingsport, TN 37660. The listed phone number is (423) 230-8093.

What is Mmds Idtf LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Mmds Idtf LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.