Huedo Diagnostics DME, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0556056 Issued in TN

Legal business name

HUEDO DIAGNOSTICS DME, LLC

Practice address

100 W Springbrook Dr
Johnson City, TN 37604-1716

Phone

(423) 283-1003

Fax

(423) 283-1007

NPI assigned

Jan 3, 2008

Organization subpart

Yes

Parent organization

HUEDO DIAGNOSTICS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Rayford Gary Johnson, BS, RRT, RPSGT

Title

Chief Executive Officer

Phone

(423) 283-1003

Specialties & licenses 1

Addresses

Part of

Huedo Diagnostics Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Huedo Diagnostics, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Johnson City, TN
  • NPI 1053459354
  NPPES parent name

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1245415785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SPRINGBROOK DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041716",
            "telephone_number": "423-283-1003",
            "fax_number": "423-283-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SPRINGBROOK DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041716",
            "telephone_number": "423-283-1003",
            "fax_number": "423-283-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUEDO DIAGNOSTICS DME, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUEDO DIAGNOSTICS, LLC",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RAYFORD",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "423-283-1003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, RRT, RPSGT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0556056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas L Huddleston, M.D.
• Khia Ladawn Hudgins-Smith, MA
• Larry Burton Hudgins, MD
• Kevin Ray Hudson, PA
• Larry David Hudson, MD
• Huedo Diagnostics, Inc.
• Theresa Marie Huff, P.T.
• Roland Keith Huffaker, M. D.
• Randy Ford Huffines
• Chasity A Huffman, RN

• Durable Medical Equipment & Medical Supplies in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.