Radiance Light Systems, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

140922 Issued in GA

Legal business name

RADIANCE LIGHT SYSTEMS, LLC

Practice address

2145 Roswell Rd
Marietta, GA 30062-0821

Phone

(770) 565-8266

NPI assigned

Nov 4, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jon Michael Cissell

Title

Owner

Phone

(404) 819-1432

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1144659830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "770-565-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300620821",
            "telephone_number": "770-565-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE LIGHT SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "CISSELL",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-819-1432",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "140922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Warren Rabson, DC
• Erika Leigh Rademacher, PA-C
• Mary Rader, LPC
• Julea Grace Radford, PA-C
• Radiance Behavior Therapy, LLC
• Radiant Life Home Care LLC
• Radin Chiropractic Inc
• David Arthur Radin, D.C.
• Diane A Radin, D.C.
• John Andrew Radin, D.C.

• Health Service Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.