Healthcare Provider Details

I. General information

NPI: 1447280375
Provider Name (Legal Business Name): NVMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 11/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BLUEGRASS COMMONS BLVD STE 150
HENDERSONVILLE TN
37075-2737
US

IV. Provider business mailing address

100 BLUEGRASS COMMONS BLVD STE 150
HENDERSONVILLE TN
37075-2737
US

V. Phone/Fax

Practice location:
  • Phone: 615-826-1500
  • Fax: 615-826-2321
Mailing address:
  • Phone: 615-826-1500
  • Fax: 615-826-2321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. SEAN FRANKLIN MCCRACKEN
Title or Position: CEO
Credential: RN
Phone: 615-826-1500