MEDICARE: REGIONAL AMBULATORY DIAGNOSTICS, INC.

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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467442806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGIONAL AMBULATORY DIAGNOSTICS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 15129
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39404-5129
Country	:	US
Telephone Number	:	601-268-1842
Fax Number	:	601-268-7898

Provider Business Practice Location Address
First Line	:	1008 MARSHALL AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45225-2316
Country	:	US
Telephone Number	:	513-281-1430
Fax Number	:	513-281-1409

Authorized Official
Title or Position	:	VICE PRESIDENT OF PROFESSIONAL SERV
Name	:	MS. PENNY S LOVITT
Credential	:	RN, MSN
Telephone Number	:	601-268-1842

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	03/20/2008

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