Provider Demographics
NPI:1043213754
Name:RADIOLOGY ASSOCIATES INC
Entity Type:Organization
Organization Name:RADIOLOGY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-762-0020
Mailing Address - Street 1:38 HAMLET AVE
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-4423
Mailing Address - Country:US
Mailing Address - Phone:401-762-0020
Mailing Address - Fax:401-762-1819
Practice Address - Street 1:235 PLAIN ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3240
Practice Address - Country:US
Practice Address - Phone:401-272-8510
Practice Address - Fax:401-272-0315
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RADIOLOGY ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-05-27
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRAD00902085R0202X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9782109Medicaid
20407OtherFALLON
MA9782109OtherHEALTHY START
RI0845OtherNHP RI
RI236OtherRI BCBS
603550OtherHPHC
ME431721601OtherME MEDICAID
705830OtherTUFTS
MA0008792OtherNHP MA
CT50RADINCMMA01OtherANTHEM BCBS
RICPG0000302OtherBLUECHIP
MAM16192OtherMA BCBS
16-00136OtherUHC
RI9000236Medicaid
CT50RADINCMMA01OtherANTHEM BCBS
RI236OtherRI BCBS
RI0845OtherNHP RI