1265451215 NPI number — BATTLEFIELD IMAGING LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265451215 NPI number — BATTLEFIELD IMAGING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BATTLEFIELD IMAGING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265451215
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1604 GUNBARREL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHATTANOOGA
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37421-3125
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-648-2395
Provider Business Mailing Address Fax Number:
423-648-7542

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4632 BATTLEFIELD PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RINGGOLD
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30736-8004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-806-0170
Provider Business Practice Location Address Fax Number:
706-806-0200
Provider Enumeration Date:
07/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCPHERSON
Authorized Official First Name:
GARTH
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
706-806-0170

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4072958 . This is a "BCS OF TN" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 757199790F , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 52853264-001 . This is a "BCBS OF GA" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




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