# RADIANCE RADIOLOGY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134459720
- **Authorized official:** ANDREY SALAMAKHA R.T. (R) (PRESIDENT)
- **Authorized official phone:** (727) 815-2423

## Contact information

- **Practice address:** 37566 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1019
- **Practice address phone:** (727) 815-2423
- **Practice address fax:** (727) 330-7760
- **Mailing address:** 37566 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1019
- **Mailing address phone:** (727) 815-2423
- **Mailing address fax:** (727) 330-7760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2010
- **Last updated:** 06/07/2011