Mobile Testing of Tennessee, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MOBILE TESTING OF TENNESSEE, INC.

Practice address

5115 Maryland Way
Brentwood, TN 37027-7512

Phone

(615) 346-5512

Fax

(615) 346-5513

NPI assigned

Mar 29, 2010

Last updated

Mar 29, 2010By 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

Ms. Claire Prymus

Title

President

Phone

(615) 346-5512

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1326363706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 MARYLAND WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277512",
            "telephone_number": "615-346-5512",
            "fax_number": "615-346-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 MARYLAND WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277512",
            "telephone_number": "615-346-5512",
            "fax_number": "615-346-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE TESTING OF TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "PRYMUS",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-346-5512",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hume Lucas Mitchell III
• Jessica Elaine Mitchell
• Danielle Mizell, PSY D
• Afsaneh Moayedi, D.D.S.
• Ayesha Mobeen
• Mobile Therapy Centers of Tennessee, LLC
• Mobile Wound Care Solutions Inc
• Fiorella Ghiggo Mock, LCSW
• James Moeller
• Amber Mohr, DOULA

• Multi-Specialty Clinic/Center in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Multi-Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.