Radhika Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

200266 Issued in KY

Legal business name

RADHIKA INC.

Doing business as

TRI STATE MEDICAL LAB

Practice address

2754 Veach Rd
Owensboro, KY 42303-6219

Phone

(270) 852-7771

Fax

(270) 852-7773

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dinesh M Goyal

Title

President

Phone

(270) 852-7771

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TRI STATE MEDICAL LAB Doing business as

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1710032420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 VEACH RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036219",
            "telephone_number": "270-852-7771",
            "fax_number": "270-852-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 VEACH RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036219",
            "telephone_number": "270-852-7771",
            "fax_number": "270-852-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHIKA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "DINESH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-852-7771"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "200266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37000726",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI STATE MEDICAL LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen M Quatro, NP
• Lori Yvonne Quinn, APRN
• Brock Quinton
• Bethany Quisenberry
• Brittney G. Quisenberry, CSFA
• Radiation Oncology PSC
• Radiology & Diagnostic Imaging 2 PSC
• Radiology and Diagnostic Imaging, PSC
• Radiology PSC
• Keri Rafferty, CST

• Clinical Medical Laboratory in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.