Organization Active NPI

Monks Imaging LLC

  • Radiologic Technologist
  • Fayetteville, TN
National Provider Identifier
1114015153
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
MDX0000003440 Issued in TN
Legal business name
MONKS IMAGING LLC
Practice address
108 Medical Center Blvd
Box 7
Fayetteville, TN 37334-2741
Phone
(931) 438-9085
Fax
(931) 438-0960
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Philip Monks, RTNPI 1619065570
Title
Owner/RT
Phone
(931) 438-9085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X MDX0000003440 TN Primary

Addresses

Primary practice location

108 Medical Center Blvd
Box 7
Fayetteville, TN 37334-2741

Mailing address

108 Medical Center Blvd
PO Box 7
Fayetteville, TN 37334-2741
Phone (931) 438-9085

Other identifiers 2

IdentifierTypeStateIssuer
3790647MedicaidTN
4011132OtherTNBCBS

National Provider Directory

National Provider Directory

Locations

2320 Thornton Taylor Pkwy
Fayetteville, TN 37334
Phone (931) 433-7778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1114015153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "PO BOX 7",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342741",
            "telephone_number": "931-438-9085",
            "fax_number": "931-438-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "BOX 7",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342741",
            "telephone_number": "931-438-9085",
            "fax_number": "931-438-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONKS IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "MONKS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER/RT",
        "authorized_official_telephone_number": "931-438-9085",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "TN",
            "license": "MDX0000003440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3790647",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4011132",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.