Provider Demographics
NPI:1336642685
Name:RADEX MOBILE NETWORK LLC
Entity Type:Organization
Organization Name:RADEX MOBILE NETWORK LLC
Other - Org Name:RADEX MOBILE NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CONRADO
Authorized Official - Middle Name:OLALIA
Authorized Official - Last Name:QUEMUEL
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:714-474-1149
Mailing Address - Street 1:242 PREBLE DR
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3720
Mailing Address - Country:US
Mailing Address - Phone:714-474-1149
Mailing Address - Fax:
Practice Address - Street 1:1851 E 1ST ST STE 900
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4066
Practice Address - Country:US
Practice Address - Phone:714-474-1149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-13
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty