Provider Demographics
NPI:1609522523
Name:RADIOLOGICAL IMAGING SERVICES, LLC
Entity type:Organization
Organization Name:RADIOLOGICAL IMAGING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-562-5255
Mailing Address - Street 1:328 S 3RD ST REAR
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-1902
Mailing Address - Country:US
Mailing Address - Phone:610-562-5255
Mailing Address - Fax:610-562-5211
Practice Address - Street 1:328 S 3RD ST REAR
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:PA
Practice Address - Zip Code:19526-1902
Practice Address - Country:US
Practice Address - Phone:610-562-5255
Practice Address - Fax:610-562-5211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment