Provider Demographics
NPI:1831417351
Name:MMS IMAGING SERVICES LLC
Entity type:Organization
Organization Name:MMS IMAGING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NISHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-281-0499
Mailing Address - Street 1:5109 82ND ST
Mailing Address - Street 2:UNIT 7, PMB 244
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-3000
Mailing Address - Country:US
Mailing Address - Phone:806-319-7981
Mailing Address - Fax:806-281-0360
Practice Address - Street 1:1415 NW 43RD ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-5021
Practice Address - Country:US
Practice Address - Phone:806-281-0499
Practice Address - Fax:806-281-0360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3712259316335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier