Healthcare Provider Details

I. General information

NPI: 1497917124
Provider Name (Legal Business Name): RADIATION PHYSICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 12/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10133 BACON DR
BELTSVILLE MD
20705-2102
US

IV. Provider business mailing address

10133 BACON DR
BELTSVILLE MD
20705-2102
US

V. Phone/Fax

Practice location:
  • Phone: 301-937-4072
  • Fax: 301-937-2332
Mailing address:
  • Phone: 301-937-4072
  • Fax: 301-937-2332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number StateMD

VIII. Authorized Official

Name: LOUIS M RUBIN
Title or Position: PRESIDENT
Credential:
Phone: 301-937-4072