MEDICARE: RAD READY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0208X	Mobile Radiology Clinic/Center	R31766	TX
2	261QR0200X	Radiology Clinic/Center	R31766	TX

General Provider Information

NPI Number	:	1295999837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAD READY, LLC

Provider Business Mailing Address
First Line	:	101 N STUART PLACE
Second Line	:	SUITE B PMB 20
City	:	HARLINGEN
State	:	TX
Zip	:	78522-6482
Country	:	US
Telephone Number	:	956-357-0089
Fax Number	:	956-233-3407

Provider Business Practice Location Address
First Line	:	725 W OCEAN DRIVE
Second Line	:
City	:	LOS FRESNOS
State	:	TX
Zip	:	78566-3637
Country	:	US
Telephone Number	:	956-357-0089
Fax Number	:	956-233-3407

Authorized Official
Title or Position	:	MEMBER
Name	:	WAYNE WANG
Credential	:
Telephone Number	:	956-356-0089

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	12/10/2008

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Directions to “RAD READY, LLC ” Practice Location

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