Provider Demographics
NPI:1295999837
Name:RAD READY, LLC
Entity type:Organization
Organization Name:RAD READY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-356-0089
Mailing Address - Street 1:101 N STUART PLACE
Mailing Address - Street 2:SUITE B PMB 20
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78522-6482
Mailing Address - Country:US
Mailing Address - Phone:956-357-0089
Mailing Address - Fax:956-233-3407
Practice Address - Street 1:725 W OCEAN DRIVE
Practice Address - Street 2:
Practice Address - City:LOS FRESNOS
Practice Address - State:TX
Practice Address - Zip Code:78566-3637
Practice Address - Country:US
Practice Address - Phone:956-357-0089
Practice Address - Fax:956-233-3407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR31766261QR0208X, 261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile