Allied Mobile Imaging, LLC
Organization Active NPI Vascular Sonography Radiologic Technologist · Estill Springs, TN
NPI 1033440672 · NPPES record last updated Jun 8, 2021
Key facts
- NPI
- 1033440672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Vascular Sonography Radiologic Technologist 2471V0105X
- License
- 97937 (TN)
- Legal business name
- ALLIED MOBILE IMAGING, LLC
- Practice address
- 5833 Aedc Rd
Estill Springs, TN 37330-3915 - Phone
- (931) 392-4169
- Fax
- (931) 392-4187
- NPI assigned
- Jan 21, 2010
- Organization subpart
- No
Authorized official
- Name
- Brian Snyder
- Title
- Ceo Owner
- Phone
- (931) 392-4169
Practitioners 1
-
Gershon Y Perry, M.D., F.A.C.C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110627000100 | TN | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7911038146 | Practice locations: Estill Springs, TN |
National Provider Directory
Locations
2288 Gunbarrel Rd
Ste 154
Chattanooga, TN 37421
Phone (931) 392-4169
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Sonography Radiologic Technologist |
2471V0105X | 97937 | TN | Yes |
Addresses
Primary practice location
5833 Aedc Rd
Estill Springs, TN 37330-3915
Mailing address
5833 Aedc Rd
Estill Springs, TN 37330-3915
Phone (931) 392-4169
Other providers in Estill Springs, TN
- Cheyenne Nichole Adams
- Allied Imaging LLC
- Amg-Southern Tennessee LLC
- Robert Anderson
- Debra Jane Baxter
- Walter J Boyanton III
- Renate Marie Braddy
All providers in Estill Springs, TN · Vascular Sonography Radiologic Technologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.