Southeastern Mobile Imaging LLC

Primary specialty

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

License

NA Issued in TN

Legal business name

SOUTHEASTERN MOBILE IMAGING LLC

Practice address

5004 Bayberry Dr
Knoxville, TN 37921-1401

Phone

(865) 216-0618

Fax

(423) 765-0465

NPI assigned

Aug 31, 2006

Last updated

Aug 29, 2007By 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

Miss Julie M Watson

Title

Owner

Phone

(865) 216-0618

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1407967565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 ANDREW BROOK LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231591",
            "telephone_number": "865-216-0618",
            "fax_number": "865-637-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 BAYBERRY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379211401",
            "telephone_number": "865-216-0618",
            "fax_number": "423-765-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN MOBILE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-216-0618",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TN",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.