Radeas LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

COLAID: 24402 Issued in NC

Legal business name

RADEAS LLC

Practice address

907 Gateway Commons Cir Ste 100
Wake Forest, NC 27587

Phone

(919) 263-1150

Fax

(919) 516-0096

NPI assigned

Mar 19, 2013

Last updated

Mar 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phil Radford, PHD, NRCC

Title

Lab Director

Phone

(919) 249-8378

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1447592308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 GATEWAY COMMONS CIR STE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875993",
            "telephone_number": "919-263-1150",
            "fax_number": "919-516-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 GATEWAY COMMONS CIR STE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "919-263-1150",
            "fax_number": "919-516-0096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11635 Northpark Dr",
            "address_2": "Suite 340",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275876526",
            "country_code": "US",
            "telephone_number": "919-249-8378",
            "fax_number": "919-516-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11635 Northpark Dr",
            "address_2": "Suite 340",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275876526",
            "country_code": "US",
            "telephone_number": "919-249-8378",
            "fax_number": "919-516-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADEAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "919-249-8378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, NRCC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "COLAID: 24402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Davis Quinn, CPNP
• Andres Quintana
• Cecelia Rabil, OTR/L
• Adam Samuel Rabinowitz, D.C.
• Emily Marie Racana
• Lori Wastila Ragsdale, RD, LDN
• Jeelan Bassam Rahhal
• David C Railean, RPH
• Rainbow Kids Pediatrics
• Raleigh Durham Medical Group, PA (Heritage Urgent and Primary Care)

• Clinical Medical Laboratory in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.