Mobile Extremity MRI LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MOBILE EXTREMITY MRI LLC

Practice address

237 W Northfield Blvd Ste 203
Murfreesboro, TN 37129-0531

Phone

(615) 225-0931

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Richard J Zimmer III

Title

Managing Member

Phone

(504) 616-8066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1710472196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W NORTHFIELD BLVD STE 203",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290531",
            "telephone_number": "615-225-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W NORTHFIELD BLVD STE 203",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290531",
            "telephone_number": "615-225-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE EXTREMITY MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "504-616-8066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristan Kane Mitchell
• Brent Ronald Mittelstaedt, D.O.
• Mix It Up Beverage Co LLC
• Daniel John Mleziva II, RN
• MMR Senior Alliance Corporation (Right at Home of Middle Tennessee)
• Derrick Lamount Mobley
• Marie Mobley
• Richard Mobley, RBT
• Stephanie Layn Moffatt, PMHNP
• Thomas S Moffitt, D.O.

• Physiological Laboratory in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Physiological Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.