MMDS of Nashville Idtf LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MMDS OF NASHVILLE IDTF LLC

Practice address

9081 Lebanon Rd
Suite B
Mt Juliet, TN 37122-5602

Phone

(615) 754-7300

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

James Baldwin

Title

Owner

Phone

(615) 754-7300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194733717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15268",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288130268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9081 LEBANON RD",
            "address_2": "SUITE B",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371225602",
            "telephone_number": "615-754-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMDS OF NASHVILLE IDTF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-754-7300"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mint Edition Wellness Center
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• Ashley Mitchell, DC
• Kevin Jay Mitchell, D.C.
• Mica Erin Carter Mitchell, SLP
• MMDS of Nashville, LLC
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• Reginald Mobley
• Modern Eye Gallery
• Deena Montgomery, FNP-C

• Physiological Laboratory in Mt Juliet, TN
• Providers in Mt Juliet, TN by specialty
• Physiological Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.