Healthcare Provider Details

I. General information

NPI: 1982797502
Provider Name (Legal Business Name): MOBILE SONIX OF TN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6918 SHALLOWFORD RD SUITE 207
CHATTANOOGA TN
37421
US

IV. Provider business mailing address

6918 SHALLOWFORD RD SUITE 207
CHATTANOOGA TN
37421
US

V. Phone/Fax

Practice location:
  • Phone: 423-605-0850
  • Fax: 423-648-6244
Mailing address:
  • Phone: 423-605-0850
  • Fax: 423-648-6244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. MATHEW RAY FILE
Title or Position: PRESIDENT
Credential:
Phone: 423-605-0850