Provider Demographics
NPI:1396362406
Name:RAPID DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:RAPID DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:TEOFIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GHERASIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-837-0868
Mailing Address - Street 1:24450 EVERGREEN RD STE 215B
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5546
Mailing Address - Country:US
Mailing Address - Phone:248-837-0868
Mailing Address - Fax:240-252-6236
Practice Address - Street 1:24450 EVERGREEN RD STE 215B
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5546
Practice Address - Country:US
Practice Address - Phone:248-837-0868
Practice Address - Fax:240-252-6236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier