RADIANCE LIGHT SYSTEMS LLC NPI 1144659830

NPI Information

NPI: 1144659830
Provider Name: RADIANCE LIGHT SYSTEMS, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2145 ROSWELL RD
MARIETTA, GA
ZIP 30062
Phone: (770) 565-8266
Get Directions

RADIANCE LIGHT SYSTEMS, LLC is a health service clinic center in Marietta, GA. RADIANCE LIGHT SYSTEMS, LLC NPI is 1144659830. The provider is registered as an organization entity type.

The provider's business location address is:

2145 ROSWELL RD
MARIETTA, GA
ZIP 30062-821
Phone: (770) 565-8266

The provider's authorized official is Jon Michael Cissell .
The authorized official title is Owner and has the following contact phone number (404) 819-1432.

The enumeration date for this NPI number is 11/4/2013 and was last updated on 11/4/2013.

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
1	261QH0100X	Clinic/Center	Health Service	140922	GEORGIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »