Healthcare Provider Details

I. General information

NPI: 1912957374
Provider Name (Legal Business Name): MOBILE IMAGES ACQUISITION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6111A HERITAGE PARK DR SUITE 400
CHATTANOOGA TN
37416-3665
US

IV. Provider business mailing address

PO BOX 21780
CHATTANOOGA TN
37424-0780
US

V. Phone/Fax

Practice location:
  • Phone: 423-892-9729
  • Fax: 423-648-9042
Mailing address:
  • Phone: 423-892-9729
  • Fax: 423-648-9042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number0414263
License Number StateTN

VIII. Authorized Official

Name: MR. RICK B MERCHANT
Title or Position: CEO
Credential:
Phone: 865-693-1655