Provider Demographics
NPI:1265445860
Name:NAIMCO
Entity Type:Organization
Organization Name:NAIMCO
Other - Org Name:PAIN REDUCTION SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:CHAD
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-648-7730
Mailing Address - Street 1:4120 S CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37406-1021
Mailing Address - Country:US
Mailing Address - Phone:423-648-7730
Mailing Address - Fax:866-354-4576
Practice Address - Street 1:1466 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37406-4323
Practice Address - Country:US
Practice Address - Phone:866-353-4576
Practice Address - Fax:866-354-4576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN83767332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5369430001Medicare ID - Type Unspecified