Med-Ray, Inc.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

NOT REQUIRED

Legal business name

MED-RAY, INC.

Practice address

6111A Heritage Park Dr
Suite 400
Chattanooga, TN 37416-3665

Phone

(423) 892-9729

Fax

(423) 648-9042

NPI assigned

Jul 5, 2005

Last updated

Oct 11, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rick B. Merchant

Title

Owner/President of Med-Ray, Inc.

Phone

(423) 892-9729

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720085855. Details of each certification follow.

• CCN 44X0009805 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 44X0009805

Legal name

MED-RAY, INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jun 5, 1989

Last certification

Jul 25, 2017

Ownership / control type

Other Than Private

Facility address

6111A Heritage Park Dr Suite 400
Chattanooga, TN 37416

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Desmond Lawrence Fischer, M.D.

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1598881039
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1720085855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21891",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374240891",
            "telephone_number": "423-892-9729",
            "fax_number": "423-648-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111A HERITAGE PARK DR",
            "address_2": "SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163665",
            "telephone_number": "423-892-9729",
            "fax_number": "423-648-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-RAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT OF MED-RAY, INC.",
        "authorized_official_telephone_number": "423-892-9729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": "NOT REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN SENIOR HEALTH",
            "identifier": "702010734",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000644091A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3075999",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP OF TENNESSEE",
            "identifier": "100029291",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3402061",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• K Brent Meadows, DO
• William E Meadows III, MD
• Augustus E Mealor, MD
• Med Lifts LLC
• Med-Ray, Inc.
• Fabrice Medastin, RN
• Medi Pedi Wellness Empire
• Medical Arts Pharmacy, Inc.
• Medical Attire
• Medical Necessities & Services LLC

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.