Provider Demographics
NPI:1356675466
Name:THE NATIONAL RADIOLOGY NETWORK, INC.
Entity Type:Organization
Organization Name:THE NATIONAL RADIOLOGY NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:BORTOLETTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-290-2126
Mailing Address - Street 1:12707 NORTH FWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-1200
Mailing Address - Country:US
Mailing Address - Phone:713-290-2126
Mailing Address - Fax:713-290-2226
Practice Address - Street 1:12707 NORTH FWY
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-1200
Practice Address - Country:US
Practice Address - Phone:713-290-2126
Practice Address - Fax:713-290-2226
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RADIOLOGY FACILITIES CO.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology