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1629020896
MMDS IDTF LLC
KINGSPORT, TN
NPI
1629020896
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Entity Type
Organization
Authorized Contact
LLOYD WILLIAMS
Director
423-230-8093
Organization Subpart ?
No
Primary Taxonomy
293D00000X Physiological Laboratory
Enumeration Date
2006-05-16
Last Update Date
2020-08-22
Business Address
MMDS IDTF LLC
1038 S WILCOX DR SUITE 115
KINGSPORT, TN 37660-5378
Phone number: 423-230-8093
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Mailing Address
MMDS IDTF LLC
PO BOX 15268
ASHEVILLE, NC 28813-0268
Phone number:
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