RAD ONE INC NPI 1093002776

NPI Information

  • NPI: 1093002776
  • Provider Name: RAD ONE INC
  • Classification: Radiologic Technologist - 247100000X
  • Entity Type: Organization
  • Address: 12462 KROME AVE
    PORT CHARLOTTE, FL
    ZIP 33981
  • Phone: (941) 815-1103

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NPI Details

RAD ONE INC is a radiologic technologist in Port Charlotte, FL. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. RAD ONE INC NPI is 1093002776. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12462 KROME AVE
PORT CHARLOTTE, FL
ZIP 33981-327
Phone: (941) 815-1103
Fax: (239) 541-5445

The provider's authorized official is David Courson .
The authorized official title is Partner and has the following contact phone number (941) 815-1103.

The enumeration date for this NPI number is 7/1/2011 and was last updated on 7/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1247100000XRadiologic TechnologistCRT39038FLORIDANo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentFLORIDANo
3247100000XRadiologic TechnologistCRT8522FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P02000132080OTHERFLORIDACORPORATION ID
21880149214156OTHERFLORIDARESALE TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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