Radiance Radiology Inc

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

RADIANCE RADIOLOGY INC

Practice address

37566 US Highway 19 N
Palm Harbor, FL 34684-1019

Phone

(727) 934-5500

Fax

(727) 934-5507

NPI assigned

Dec 26, 2019

Organization subpart

No

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

Authorized official

Name

Andrey Salamakha

Title

Owner

Phone

(877) 723-9729

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Radiance Radiology Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Palm Harbor, FL
  • NPI 1134459720

  6709919947

  Same PAC ID

Tax ID family

Radiance Radiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Radiance Radiology Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Palm Harbor, FL
  • NPI 1134459720
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Scott Dorn, M.D.

  • Diagnostic Radiology Physician
  • Merritt Island, FL
  • NPI 1609024470

  Diagnostic Ultrasound

  NPD

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1851930671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37566 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841019",
            "telephone_number": "727-934-5500",
            "fax_number": "727-934-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37566 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841019",
            "telephone_number": "727-934-5500",
            "fax_number": "727-934-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "SALAMAKHA",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-723-9729"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RADIANCERADIOLOGY.COM/PORTAL",
            "affiliation": "N",
            "address_1": "37566 US Highway 19 N",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346841019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Marie Quesada
• Blanca Iris Quintan
• Maria Dina Quintela, OT
• Victoria Lynn Rademacher, PA-C
• Radiance Radiology Inc
• Radiant Health Professionals PLLC
• Radiology Associates of Tampa PA
• Sara Alison Rahgozar, PT, DPT
• Rainbow Family Wellness
• Sherly Rainey, LMHC

• Diagnostic Ultrasound Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Diagnostic Ultrasound Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.