MEDICARE: RADAMATIC 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

General Provider Information

NPI Number	:	1609234152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADAMATIC LLC

Provider Business Mailing Address
First Line	:	3825 MAPLESHADE LN
Second Line	:	6104
City	:	PLANO
State	:	TX
Zip	:	75075-5727
Country	:	US
Telephone Number	:	682-704-1710
Fax Number	:

Provider Business Practice Location Address
First Line	:	3825 MAPLESHADE LN
Second Line	:	6104
City	:	PLANO
State	:	TX
Zip	:	75075-5727
Country	:	US
Telephone Number	:	682-704-1710
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DHRUVA CHOPRA
Credential	:	MBA
Telephone Number	:	682-704-1710

Provider Enumeration Date	:	01/29/2016
Last Update Date	:	01/29/2016

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Directions to “RADAMATIC LLC ” Practice Location

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