Vision Ky Idtf, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

VISION KY IDTF, LLC

Doing business as

MMDS Mobile X-Ray IDTF

Practice address

7321 New la Grange Rd
Suite 112
Louisville, KY 40222-4800

Phone

(828) 242-0640

NPI assigned

Feb 11, 2016

Last updated

Mar 2, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

MMDS OF NORTH CAROLINA, INCAs reported in NPPES

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

Authorized official

Name

Amy Brookman

Title

Corporate Business Development

Phone

(423) 480-4087

Specialties & licenses 1

Addresses

Other names 1

• MMDS Mobile X-Ray IDTF Doing business as

Part of

National Mobile X-Ray

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1487013066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 HARRAH DR",
            "address_2": "SUITE L",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371746252",
            "telephone_number": "423-480-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 NEW LA GRANGE RD",
            "address_2": "SUITE 112",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224800",
            "telephone_number": "828-242-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION KY IDTF, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MMDS OF NORTH CAROLINA, INC",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "BROOKMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CORPORATE BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "423-480-4087"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMDS Mobile X-Ray IDTF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia R Stokes, MD, PSC
• Jeevanjot Kaur Virk
• Kingal Virshni, MD
• Dylan P Vish, MD
• Elizabeth Diane Vish, ARNP
• Vision Mobile Diagnostics
• Vision of Promise LLC
• Amy Vissing, OTR/L, CHT
• Amy Maria Vissing, SLP
• Michael D. Vissing, P.A.

• Physiological Laboratory in Louisville, KY
• Providers in Louisville, KY by specialty
• Physiological Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.