Provider Demographics
NPI:1427214493
Name:RAYLIABLE TRANSPORTATION
Entity type:Organization
Organization Name:RAYLIABLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-575-3103
Mailing Address - Street 1:1061 NATCHEZ PT APT 182
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-0930
Mailing Address - Country:US
Mailing Address - Phone:901-575-3103
Mailing Address - Fax:901-575-3104
Practice Address - Street 1:1061 NATCHEZ PT APT 182
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-0930
Practice Address - Country:US
Practice Address - Phone:901-575-3103
Practice Address - Fax:901-575-3104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNT000248343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)