Provider Demographics
NPI:1205298601
Name:UNITED RADIOLOGY BILLING, LLC
Entity type:Organization
Organization Name:UNITED RADIOLOGY BILLING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOSTELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-827-9526
Mailing Address - Street 1:119 W IRON AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2600
Mailing Address - Country:US
Mailing Address - Phone:785-827-9526
Mailing Address - Fax:785-827-2854
Practice Address - Street 1:119 W IRON AVE FL 5
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2600
Practice Address - Country:US
Practice Address - Phone:785-827-9526
Practice Address - Fax:785-827-2854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty