# MEDI RAY PORTABLE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043339484
- **Authorized official:** MR. MICHAEL BYRON (VICE PRESIDENT)
- **Authorized official phone:** (847) 685-9326

## Contact information

- **Practice address:** 7405 N OSCEOLA AVE, CHICAGO, IL 60631-4434
- **Practice address phone:** (847) 685-9326
- **Mailing address:** 7405 N OSCEOLA AVE, CHICAGO, IL 60631-4434
- **Mailing address phone:** (847) 685-9326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471C3402X | Radiography Radiologic Technologist | — | IL | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020