Provider Demographics
NPI:1538460985
Name:RADIATION PHYSICS INC
Entity Type:Organization
Organization Name:RADIATION PHYSICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-937-4072
Mailing Address - Street 1:10133 BACON DR
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2102
Mailing Address - Country:US
Mailing Address - Phone:301-937-4072
Mailing Address - Fax:301-937-2332
Practice Address - Street 1:10133 BACON DR
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2102
Practice Address - Country:US
Practice Address - Phone:301-937-4072
Practice Address - Fax:301-937-2332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAQ368100001Medicare PIN