Provider Demographics
NPI:1861649436
Name:RONALD LANDAU PSC
Entity Type:Organization
Organization Name:RONALD LANDAU PSC
Other - Org Name:EASTERN KENTUCKY DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RADIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-727-0054
Mailing Address - Street 1:241 E PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-1441
Mailing Address - Country:US
Mailing Address - Phone:954-727-0054
Mailing Address - Fax:954-727-0145
Practice Address - Street 1:317 BROADWAY ST
Practice Address - Street 2:SUITE 4
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240-1348
Practice Address - Country:US
Practice Address - Phone:606-789-1233
Practice Address - Fax:606-789-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)