MD MOBILE DIAGNOSTICS – NPI #1588970990
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

MD MOBILE DIAGNOSTICS is a radiologic technologist located in LEBANON, TN. NPPES has assigned the NPI number 1588970990 to MD MOBILE DIAGNOSTICS on August 23, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MD MOBILE DIAGNOSTICS” is a dba name, the actual legal business name for this organization is DARRYL CHAMPION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 247100000X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist.

The NPI profile was previously updated about 15 years ago on Apr 07, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MD MOBILE DIAGNOSTICS below.

NPI Profile for
DARRYL CHAMPION

NPI Number
1588970990
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DARRYL CHAMPION
Doing Business As (dba): MD MOBILE DIAGNOSTICS
Primary location
444 LEALAND LANE
LEBANON, TN 37087
Phone: (615) 554-7401 Fax: (615) 547-9323
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DARRYL CHAMPION
OWNER/TECH
Phone: (615) 554-7401
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
247100000X
- Radiologic Technologist (Primary)
TN
246Z00000X
- Specialist/Technologist, Other

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.