Provider Demographics
NPI:1376054874
Name:IRAD SERVICES, INC.
Entity Type:Organization
Organization Name:IRAD SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:STONEBRAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-638-4470
Mailing Address - Street 1:1024 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RICE LAKE
Mailing Address - State:WI
Mailing Address - Zip Code:54868-1236
Mailing Address - Country:US
Mailing Address - Phone:833-982-1961
Mailing Address - Fax:715-234-9750
Practice Address - Street 1:1811 GOLDEN MILE HWY STE B
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-2847
Practice Address - Country:US
Practice Address - Phone:724-519-2494
Practice Address - Fax:724-519-7923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-24
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty