Organization
MED-RAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK B. MERCHANT (OWNER/PRESIDENT OF MED-RAY, INC.)
(423) 892-9729
Entity
Organization
Contact information
Practice address
6111A HERITAGE PARK DR, SUITE 400, CHATTANOOGA, TN 37416-3665
(423) 892-9729
(423) 648-9042
Mailing address
PO BOX 21891, CHATTANOOGA, TN 37424-0891
(423) 892-9729
(423) 648-9042
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
NOT REQUIRED
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000644091A
—
GA
01
—
100029291
PHP OF TENNESSEE
TN
01
—
3075999
BLUE CROSS BLUE SHIELD
TN
05
—
3402061
—
TN
01
—
702010734
CARITEN SENIOR HEALTH
TN
Enumeration date
07/05/2005
Last updated
10/11/2013
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