Radiance Biosciences & Consultancy LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RADIANCE BIOSCIENCES & CONSULTANCY LLC

Doing business as

Radiance Diagnostics

Practice address

1240 Iroquois Ave Ste 300
Naperville, IL 60563-8538

Phone

(630) 995-3722

Fax

(630) 995-3739

NPI assigned

Jun 24, 2020

Last updated

Nov 23, 2022By 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

Sivakumar Ramu, PHDNPI 1578040101

Title

President/Manager

Phone

(630) 995-3722

Specialties & licenses 1

Addresses

Other names 1

• Radiance Diagnostics Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sivakumar Ramu, PHD

  • Clinical Laboratory Director (Non-physician)
  • Bensenville, IL
  • NPI 1578040101
  NPD Authorized official

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1588280622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 IROQUOIS AVE STE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638538",
            "telephone_number": "630-995-3722",
            "fax_number": "630-995-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 IROQUOIS AVE STE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638538",
            "telephone_number": "630-995-3722",
            "fax_number": "630-995-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE BIOSCIENCES & CONSULTANCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "RAMU",
        "authorized_official_first_name": "SIVAKUMAR",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "630-995-3722",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiance Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radiance Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rabia Family Medicine
• Barry E Rabin, MD
• Michael Howard Rabin, MD
• Michele Racanelli, LCPC, CADC
• Rachel Weeks, PC
• Radiology Consultants, LLC
• Radiology Consultants, LTD.
• Jennifer Radler, LSW
• Judith Radzicki, RN
• Kerstin Rafferty

• Clinical Medical Laboratory in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.