MED-RAY, INC. (NPI# 1720085855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720085855 |
| Entity Type | Organization |
| Organization Name | MED-RAY, INC. |
| Practice Address |
6111a Heritage Park Dr Suite 400 Chattanooga TN 37416-3665 |
| Mailing Address |
Po Box 21891 Chattanooga TN 37424-0891 |
| Practice Telephone | 4238929729 |
| Practice Fax Number | 4236489042 |
| Mailing Telephone | 4238929729 |
| Mailing Fax Number | 4236489042 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2013-10-11 |
| Authorized Official Name | MR. RICK B. MERCHANT (OWNER/PRESIDENT OF MED-RAY, INC.) |
| Authorized Official Telephone | 4238929729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | NOT REQUIRED | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000644091A | 05 | |
| TN | PHP OF TENNESSEE | 100029291 | 01 |
| TN | BLUE CROSS BLUE SHIELD | 3075999 | 01 |
| TN | 3402061 | 05 | |
| TN | CARITEN SENIOR HEALTH | 702010734 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407098155 | Med-ray, Inc. | Radiologic Technologist | 6111a Heritage Park Dr, Suite 400, Chattanooga, TN 37416-3665 | 2009-03-26 |
| Street Address |
6111A HERITAGE PARK DR SUITE 400 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37416-3665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407098155 | Med-ray, Inc. | Radiologic Technologist | 6111a Heritage Park Dr, Suite 400, Chattanooga, TN 37416-3665 | 2009-03-26 |
| 1245471614 | Mobile Images Acquisition, LLC | Radiologic Technologist | 6111a Heritage Park Dr, Suite 400, Chattanooga, TN 37416-3665 | 2009-03-16 |
| 1912957374 | Mobile Images Acquisition, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6111a Heritage Park Dr, Suite 400, Chattanooga, TN 37416-3665 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170718 | A Pharmacy LLC | Pharmacy | 4767 Hwy 58, Suite 101, Chattanooga, TN 37416 | 2019-05-28 |
| 1639653835 | Paige Mayer | Pharmacist | 4542 Tn- 58, Chattanooga, TN 37416 | 2018-09-24 |
| 1528501517 | Tabitha Richelle Bell | Home Health | 6379 Plantation Dr, Chatt, TN 37416 | 2016-11-23 |
| 1588785109 | Mark Stephen Cowart | Dentist | 4355 Hwy 58, #103a, Chattanooga, TN 37416 | 2007-04-02 |
| 1558485334 | Robert Joseph Gallien | Dentist | 4620 Hwy 58, Chattanooga, TN 37416 | 2007-03-19 |
| 1154464782 | Carol Guess | Nurse Practitioner | 7380 Volkswagen Drive, Suite #110, Chattanooga, TN 37416 | 2007-02-14 |
| 1073615464 | Kristen Beeler Conner | Dentist | 4972 Highway 58 Ste 114, Chattanooga, TN 37416 | 2006-09-05 |
| 1003865536 | Stephen C Miller | Family Medicine | 7380 Volkswagon Drive, Suite 110, Chattanooga, TN 37416 | 2006-05-10 |
| 1740773241 | Nicholas Adam Jenkins | Physical Therapist | 7380 Volkswagen Dr Ste 190a, Chattanooga, TN 37416 | 2018-06-08 |
| 1639695034 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4434 Highway 58, Chattanooga, TN 37416 | 2017-08-17 |
| Find all providers in zip 37416 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003110271 | Pri X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4040 Mountain Creek Rd, Apartment 1304, Chattanooga, TN 37415-6034 | 2011-01-03 |
| 1982885190 | Med Lifts LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1700 S Holtzclaw Ave, Chattanooga, TN 37404-4803 | 2007-11-15 |
| 1982797502 | Mobile Sonix of Tn Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6918 Shallowford Rd, Suite 207, Chattanooga, TN 37421 | 2006-10-02 |
| 1912957374 | Mobile Images Acquisition, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6111a Heritage Park Dr, Suite 400, Chattanooga, TN 37416-3665 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689038440 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 309 N Church Ave, Ste 5, Dyersburg, TN 38024-3013 | 2016-04-07 |
| 1164829347 | Tennessee Mobile Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2874 Elm Hill Pike, Nashville, TN 37214-3718 | 2014-12-03 |
| 1316106578 | Professional Ultrasound Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 588 Vann Ln, Manchester, TN 37355-5002 | 2008-06-03 |
| 1225202765 | Hometown Medical Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 635 Highway 51 S, Covington, TN 38019-2427 | 2008-04-16 |
| 1902934110 | Com-rad Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 339 Benwood Trl Ne, Cleveland, TN 37323-5096 | 2007-03-01 |
| 1467594614 | Med-way Mobile X Ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 251 Mchenry Circle, Livingston, TN 38570 | 2007-02-13 |
| 1245376581 | Radiographics, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2135 Hillshire Cir, Memphis, TN 38133-6074 | 2007-01-30 |
| 1407967565 | Southeastern Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5004 Bayberry Dr, Knoxville, TN 37921-1401 | 2006-08-31 |
| 1316050172 | East Tennessee Mobile Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5913 Wooded Acres Dr, Knoxville, TN 37921-3924 | 2006-08-16 |
| 1073569901 | Professional Imaging of Tennessee | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 187 Woodbridge Rd, Somerville, TN 38068-1220 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37416 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.