Radiant
LBN: Radiant
Radiant is an health care organization with primary practice located at 2301 Terra Crossing Blvd Ste 103, Louisville KY 40245-4994. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Radiant can be contacted via phone (304) 687-4204, or through Smith, Tiffany via phone (304) 687-4204.
Contact Information
Primary practice address
2301 Terra Crossing Blvd Ste 103
Louisville KY 40245-4994
Phone: (304) 687-4204
Fax:
Website:
Authorized official contact:
Name: Smith, Tiffany Physician's Assistant Certified (PA-C)
Phone: (304) 687-4204
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 22964 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1075 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3007017 | Kentucky |
Profile Details
NPI number | 1831555143 |
---|---|
LBN Legal business name | Radiant |
DBA Doing business as | |
Authorized official | Smith, Tiffany Physician's Assistant Certified (PA-C) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 4th, 2016 |
Last updated | Oct 3rd, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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