Provider Demographics
NPI:1629482914
Name:F&S RADIOLOGY, PC
Entity Type:Organization
Organization Name:F&S RADIOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP PROVIDER ENROLLMENT/OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:KONDAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-251-1132
Mailing Address - Street 1:3700 PARK EAST DR FL 3
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4305
Mailing Address - Country:US
Mailing Address - Phone:855-292-1401
Mailing Address - Fax:866-396-8340
Practice Address - Street 1:301-174 STREET, APT. 2310
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3240
Practice Address - Country:US
Practice Address - Phone:855-292-1401
Practice Address - Fax:866-396-8340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-16
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDG370EMedicare PIN