Provider Demographics
NPI:1962440537
Name:R & R IMAGING, INC
Entity Type:Organization
Organization Name:R & R IMAGING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICKETTS
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS,RDMS,RVT,ARRT
Authorized Official - Phone:931-934-2020
Mailing Address - Street 1:9022 LUCKY RD
Mailing Address - Street 2:
Mailing Address - City:MC MINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-4486
Mailing Address - Country:US
Mailing Address - Phone:931-934-2020
Mailing Address - Fax:931-934-2026
Practice Address - Street 1:9022 LUCKY RD
Practice Address - Street 2:
Practice Address - City:MC MINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-4486
Practice Address - Country:US
Practice Address - Phone:931-934-2020
Practice Address - Fax:931-934-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10577246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4017629OtherBLUE CROSS BLUE SHIELD
TN3790225Medicaid
TN3790225Medicaid