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Organization
RADIANCE RADIOLOGY INC
Active
Organization
RADIANCE RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREY SALAMAKHA R.T. (R) (PRESIDENT)
(727) 815-2423
Entity
Organization
Contact information
Practice address
37566 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1019
(727) 815-2423
(727) 330-7760
Mailing address
37566 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1019
(727) 815-2423
(727) 330-7760
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
CRT73617
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
CRT73617
FL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
01/05/2010
Last updated
06/07/2011
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