Provider Demographics
NPI:1588826226
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:301-937-2332
Mailing Address - Fax:
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:301-937-2332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD472718500Medicaid
MDP00755260OtherRAILROAD MEDICARE
VA2198029Medicaid
DC021624800Medicaid
DCFDCUV4Medicare PIN