MMDS of Kingsport, LLC

Primary specialty

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

Legal business name

MMDS OF KINGSPORT, LLC

Practice address

88A Little Knob Rd
Asheville, NC 28803-9646

Phone

(828) 242-0640

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By 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

Lloyd Williams

Title

Owner

Phone

(828) 242-0640

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366517146",
    "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": "88A LITTLE KNOB RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288039646",
            "telephone_number": "828-242-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMDS OF KINGSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-242-0640"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Duckworth Mitchener, RN, PMHNP-BC, MSN
• Robert C Mitchener, MPT
• Mark Mittelman, M.D.
• Paula A Mix, ARNP
• Deborah Mixon
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• Mobility Transport Solutions III, LLC
• Deborah Ashten Mock
• Meredith Mock, PA-C

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Asheville, NC
• Providers in Asheville, NC by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in North Carolina

• 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.