Provider Demographics
NPI:1093193435
Name:RADIUS EMS, LLC
Entity Type:Organization
Organization Name:RADIUS EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-318-9520
Mailing Address - Street 1:2555 N REPSDORPH RD
Mailing Address - Street 2:APT. 833
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-6502
Mailing Address - Country:US
Mailing Address - Phone:907-240-3313
Mailing Address - Fax:
Practice Address - Street 1:2555 N REPSDORPH RD
Practice Address - Street 2:APT. 833
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-6502
Practice Address - Country:US
Practice Address - Phone:907-240-3313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport