Provider Demographics
NPI:1639432040
Name:TECH CARE X-RAY,LLC
Entity Type:Organization
Organization Name:TECH CARE X-RAY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:PATTERSON-BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-562-1656
Mailing Address - Street 1:106 W 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-6125
Mailing Address - Country:US
Mailing Address - Phone:850-562-1656
Mailing Address - Fax:850-562-7209
Practice Address - Street 1:3717 CARRINGTON PL
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-2041
Practice Address - Country:US
Practice Address - Phone:850-562-1656
Practice Address - Fax:850-562-7209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-20
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Multi-Specialty
No2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiographyGroup - Multi-Specialty
No2471M2300XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMammographyGroup - Multi-Specialty
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty