Medivaultx LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MEDIVAULTX LLC

Practice address

925 S Church St Ste B100
Murfreesboro, TN 37130-4987

Phone

(615) 807-0001

Fax

(877) 479-9565

NPI assigned

Oct 18, 2025

Last updated

Oct 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chantel Reid

Title

Ceo

Phone

(615) 807-0001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760745600000",
    "number": "1205703972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S CHURCH ST STE B100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S CHURCH ST STE B100",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304987",
            "telephone_number": "615-807-0001",
            "fax_number": "877-479-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVAULTX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-807-0001"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Health Service Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; 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.