Organization
RADISERV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALPITA SHAH (CHEIF OPERATIONS OFFICER)
(617) 973-5133
Entity
Organization
Contact information
Practice address
4224 W TENNESSEE ST # 205, TALLAHASSEE, FL 32304-1033
(617) 973-5133
(617) 300-8668
Mailing address
8 FANEUIL HALL MARKETPLACE, 3RD FLOOR, BOSTON, MA 02109-0000
(617) 973-5133
(617) 300-8668
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/17/2009
Last updated
05/21/2009
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