OrganizationActive
Mmds Idtf LLC
NPI 1629020896 · Physiological Laboratory · Kingsport, TN
Mmds Idtf LLC is a Physiological Laboratory organization in Kingsport, TN (NPI 1629020896).
Provider details
- NPI number
- 1629020896
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Lloyd Williams, Director(423) 230-8093
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1038 S Wilcox Dr
Suite 115
Kingsport, TN 37660-5378
Phone: (423) 230-8093
Street-level locationGet directions
Mailing address
Po Box 15268
Asheville, NC 28813-0268
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mmds Idtf LLC's NPI number?
- Mmds Idtf LLC's National Provider Identifier (NPI) is 1629020896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mmds Idtf LLC?
- Mmds Idtf LLC is classified in the NPPES registry as Physiological Laboratory (Laboratories).
- Where is Mmds Idtf LLC located?
- Mmds Idtf LLC's practice location on file with NPPES is 1038 S Wilcox Dr, Kingsport, TN 37660-5378.
- What is Mmds Idtf LLC's phone number?
- The practice phone number listed in the NPPES registry for Mmds Idtf LLC is (423) 230-8093.
- Who is the authorized official for Mmds Idtf LLC?
- The authorized official listed on Mmds Idtf LLC's NPPES record is Lloyd Williams, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mmds Idtf LLC's NPI active?
- Yes — Mmds Idtf LLC's NPI (1629020896) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.