Provider Demographics
NPI:1457376618
Name:RD IMAGING SERVICES INC.
Entity Type:Organization
Organization Name:RD IMAGING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:RT(R)
Authorized Official - Phone:830-393-9692
Mailing Address - Street 1:213 EAGLE CREEK RANCH DRIVE
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114-9238
Mailing Address - Country:US
Mailing Address - Phone:830-393-9692
Mailing Address - Fax:830-393-8632
Practice Address - Street 1:213 EAGLE CREEK RANCH DRIVE
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-9238
Practice Address - Country:US
Practice Address - Phone:830-393-9692
Practice Address - Fax:830-393-8632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX252482471B0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471B0102XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistBone DensitometryGroup - Single Specialty