Massvax Travel Clinic L.L.C.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MASSVAX TRAVEL CLINIC L.L.C.

Practice address

113 Parkside Dr
Headland, AL 36345-1520

Phone

(334) 790-2260

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ray Charles Thompson, R.R.T.

Title

Respiratory Therapist

Phone

(334) 790-2260

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265450282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PARKSIDE DR",
            "city": "HEADLAND",
            "state": "AL",
            "postal_code": "363451520",
            "telephone_number": "334-790-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PARKSIDE DR",
            "city": "HEADLAND",
            "state": "AL",
            "postal_code": "363451520",
            "telephone_number": "334-790-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSVAX TRAVEL CLINIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "334-790-2260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.R.T."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry County Health Dept-Headland VFC Immun
• Leigh Ann Hewes, LICSW-PIP
• Jimmy Hinson King, DMD
• Shelby Marie Langford
• Shayne G Laudicina, DPT
• Stanley Ray McCardle, D.M.D.
• John M. McDonald Jr., MD
• Sara Elizabeth Wehner McKee
• Mikes Pharmacy of Headland Inc
• Joseph Lee Myers, LPC

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Headland, AL
• Providers in Headland, AL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Alabama

• 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.