Provider Demographics
NPI:1861637407
Name:EXRAD LLC
Entity Type:Organization
Organization Name:EXRAD LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:KOLP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-505-3113
Mailing Address - Street 1:4500 ELDORADO PKWY STE 1500
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5758
Mailing Address - Country:US
Mailing Address - Phone:214-491-1999
Mailing Address - Fax:
Practice Address - Street 1:4500 ELDORADO PKWY STE 1500
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5758
Practice Address - Country:US
Practice Address - Phone:214-491-1999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-11
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care