NPI 1629020896

Mmds Idtf LLC

Organisation Physiological Laboratory Kingsport, TN

Practice location

Address: 1038 S Wilcox Dr Suite 115, Kingsport, TN 37660-5378
Phone: (423) 230-8093
Mailing address: PO Box 15268, Asheville, NC 28813-0268

Authorised official

Name: Lloyd Williams
Title: Director
Phone: (423) 230-8093

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Tennessee →

Registry record

NPI: 1629020896
Entity type: Organization
NPI issued: 16 May 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.