Provider Demographics
NPI:1356624100
Name:RADASSIST, LLC
Entity type:Organization
Organization Name:RADASSIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RADIOLOGY PRACTITIONER ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:RT (R), RPA
Authorized Official - Phone:502-500-6648
Mailing Address - Street 1:10629 DRY CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299
Mailing Address - Country:US
Mailing Address - Phone:502-500-6648
Mailing Address - Fax:502-297-8103
Practice Address - Street 1:10629 DRY CREEK WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299
Practice Address - Country:US
Practice Address - Phone:502-500-6648
Practice Address - Fax:502-297-8103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY00332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY=========Other00