MEDICARE: RADIOLOGY ASSOCIATES 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	2085U0001X	Diagnostic Ultrasound Physician	RAD0119	RI
2	2085R0202X	Diagnostic Radiology Physician	RAD0119	RI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	CC2230	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0845	OTHER	RI	NHP RI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	M16192	OTHER	MA	MA BCBS
4	0008792	OTHER	MA	NHP MA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	603550	OTHER		HPHC
9	16-00136	OTHER		UHC
10	705830	OTHER		TUFTS
11	9782109	OTHER		HEALTHY START
12	20407	OTHER		FALLON
13	CPG0000302	OTHER	RI	BLUECHIP
14	2561	OTHER	RI	RIBCBS
15	50RADINCMMA01	OTHER	CT	ANTHEM BCBS

General Provider Information

NPI Number	:	1073516654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	38 HAMLET AVE
Second Line	:
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-4423
Country	:	US
Telephone Number	:	401-762-0020
Fax Number	:	401-762-1819

Provider Business Practice Location Address
First Line	:	450 VETERANS MEMORIAL PKWY
Second Line	:	BUILDING 2
City	:	EAST PROVIDENCE
State	:	RI
Zip	:	02914-5300
Country	:	US
Telephone Number	:	401-435-3041
Fax Number	:	401-435-3042

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	LISA MARQUIS
Credential	:
Telephone Number	:	401-762-0020

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	09/29/2008

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Directions to “RADIOLOGY ASSOCIATES INC ” Practice Location

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