Organization
OMNIRAD LLC
Active
Organization
OMNIRAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARS PAUL HANDAGO (CEO)
(914) 443-7437
Entity
Organization
Contact information
Practice address
1324 LOCUST ST APT 415, PHILADELPHIA, PA 19107-5644
(914) 443-7437
Mailing address
1324 LOCUST ST APT 415, PHILADELPHIA, PA 19107-5644
(914) 443-7437
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/24/2026
Last updated
08/24/2026
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