1043213754 NPI number — RADIOLOGY ASSOCIATES INC

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 1043213754 NPI number — RADIOLOGY ASSOCIATES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RADIOLOGY ASSOCIATES INC
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:
1043213754
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
38 HAMLET AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOONSOCKET
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02895-4423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-762-0020
Provider Business Mailing Address Fax Number:
401-762-1819

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
235 PLAIN ST LOWR LEVEL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PROVIDENCE
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02905-3240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-272-8510
Provider Business Practice Location Address Fax Number:
401-272-0315
Provider Enumeration Date:
05/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MARQUIS
Authorized Official First Name:
LISA
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
401-762-0020

Provider Taxonomy Codes

  • Taxonomy code: 2085U0001X , with the licence number:  RAD0090 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: RAD0090 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 9782109 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 20407 . This is a "FALLON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9782109 . This is a "HEALTHY START" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0845 . This is a "NHP RI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 236 . This is a "RI BCBS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 603550 . This is a "HPHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 431721601 . This is a "ME MEDICAID" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 705830 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0008792 . This is a "NHP MA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 50RADINCMMA01 . This is a "ANTHEM BCBS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: CPG0000302 . This is a "BLUECHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: M16192 . This is a "MA BCBS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 16-00136 . This is a "UHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9000236 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".




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