# RAINA IMAGING INC

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

## Provider details

- **NPI number:** 1215353172
- **Authorized official:** KIMBERLY A PANKEY RVT (OWNER)
- **Authorized official phone:** (904) 992-9749

## Contact information

- **Practice address:** 245 LAND GRANT ST UNIT 6, SAINT AUGUSTINE, FL 32092-1698
- **Practice address phone:** (904) 992-9749
- **Practice address fax:** (904) 992-8980
- **Mailing address:** 245 LAND GRANT ST UNIT 6, SAINT AUGUSTINE, FL 32092-1698
- **Mailing address phone:** (904) 992-9749
- **Mailing address fax:** (904) 212-1508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2014
- **Last updated:** 10/03/2024