Active NPI
Monks Imaging LLC
- Radiologic Technologist
- Fayetteville, TN
National Provider Identifier
1114015153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- MDX0000003440
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip Monks, RT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3790647 | Medicaid | TN | |
| 4011132 | Other | TN | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Radiography Radiologic Technologist
- Fayetteville, TN
- NPI 1619065570
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.