Organization
RAYSTARR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL RAY EHRLICH (OWNER)
(417) 425-8531
Entity
Organization
Contact information
Practice address
3259 E SUNSHINE ST STE R, SPRINGFIELD, MO 65809-2143
(417) 883-7796
(417) 883-7798
Mailing address
3259 E SUNSHINE ST STE R, SPRINGFIELD, MO 65804-2143
(417) 883-7796
(417) 883-7798
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
09/11/2025
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