1073516654 NPI number — RADIOLOGY ASSOCIATES INC

Table of content: (NPI 1073516654)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073516654 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:
1073516654
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2008
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:
450 VETERANS MEMORIAL PKWY
Provider Second Line Business Practice Location Address:
BUILDING 2
Provider Business Practice Location Address City Name:
EAST PROVIDENCE
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02914-5300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-435-3041
Provider Business Practice Location Address Fax Number:
401-435-3042
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: 2085R0202X , with the licence number:  RAD0119 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2085U0001X , with the licence number: RAD0119 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0845 . This is a "NHP RI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 9782109 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: M16192 . This is a "MA BCBS" identifier , issued by the state of ( MA ) . 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: 431721602 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9000236 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: CC2230 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 603550 . This is a "HPHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 16-00136 . This is a "UHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 705830 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9782109 . This is a "HEALTHY START" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20407 . This is a "FALLON" identifier . 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: 2561 . This is a "RIBCBS" identifier , issued by the state of ( RI ) . 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".




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