Provider Demographics
NPI:1558703751
Name:ZOOMRAD, LLC
Entity Type:Organization
Organization Name:ZOOMRAD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/GC
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOCK
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:941-925-3490
Mailing Address - Street 1:2 N TAMIAMI TRL
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-5574
Mailing Address - Country:US
Mailing Address - Phone:941-925-3490
Mailing Address - Fax:
Practice Address - Street 1:2 N TAMIAMI TRL
Practice Address - Street 2:SUITE 210
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-5574
Practice Address - Country:US
Practice Address - Phone:941-925-3490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology