| Organization Name: | MEDICAL EDUCATION ASSISTANCE CORPORATION |
| NPI Number: | 1023226438 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSSELL E LEWIS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 2109 W Market St Room 143 Johnson City |
| State: | TN US |
| Postal Code: | 376046024 |
| Phone Number: | 4234398830 |
| Fax Number: | 4234398580 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |