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RADIANT NPI 1831555143


NPI Information

NPI: 1831555143
Provider Name: RADIANT
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 18D2259587

Address:
2301 TERRA CROSSING BLVD
STE 103
LOUISVILLE, KY
ZIP 40245
Phone: (304) 687-4204
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RADIANT is a general practice in Louisville, KY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RADIANT NPI is 1831555143. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2301 TERRA CROSSING BLVD
STE 103
LOUISVILLE, KY
ZIP 40245-994
Phone: (304) 687-4204

The provider's authorized official is Tiffany Smith .
The authorized official title is President and has the following contact phone number (304) 687-4204.

The CLIA number assigned to this NPI record is 18D2259587 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2016 and was last updated on 10/3/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA1075KENTUCKYNo
2363LF0000XNurse PractitionerFamily3007017KENTUCKYNo
3208D00000XGeneral Practice22964KENTUCKYYes

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

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.