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Organization
PORTARAD LLC
Active
Organization
PORTARAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDE MARTIN JR. RTR (PRESIDENT)
(859) 585-8992
Entity
Organization
Contact information
Practice address
7460 CHASE LANE, JEFFERSONVILLE, KY 40337-8979
(866) 972-9626
(859) 498-6007
Mailing address
7460 CHASE LANE, JEFFERSONVILLE, KY 40337-8979
(866) 972-9626
(859) 498-6007
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
720223
KY
Other
Enumeration date
08/30/2005
Last updated
09/11/2013
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