Provider Demographics
NPI:1528228897
Name:BABIN, RAYLA M (R, MR)
Entity Type:Individual
Prefix:
First Name:RAYLA
Middle Name:M
Last Name:BABIN
Suffix:
Gender:F
Credentials:R, MR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1691
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32302-1691
Mailing Address - Country:US
Mailing Address - Phone:850-668-3537
Mailing Address - Fax:
Practice Address - Street 1:2910 KERRY FOREST PKWY
Practice Address - Street 2:STE A1-A
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-6892
Practice Address - Country:US
Practice Address - Phone:850-894-9500
Practice Address - Fax:850-894-9501
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCRT 474662471C3402X
3184512471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging
No2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography