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RADIANTCARE PHYSICIANS PLLC NPI 1851378160


NPI Information

NPI: 1851378160
Provider Name: RADIANTCARE PHYSICIANS, PLLC

Former Legal Business Name: RADIANTCARE RADIATION ONCOLOGY, LLC

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
4525 3RD AVE SE
SUITE 100
LACEY, WA
ZIP 98503
Phone: (360) 412-8960
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RADIANTCARE PHYSICIANS, PLLC is a radiation oncology radiology in Lacey, WA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. RADIANTCARE PHYSICIANS, PLLC NPI is 1851378160. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Radiantcare Radiation Oncology, Llc.

The provider's business location address is:

4525 3RD AVE SE
SUITE 100
LACEY, WA
ZIP 98503-010
Phone: (360) 412-8960
Fax: (360) 412-8970

The provider's authorized official is Heather Baisch .
The authorized official title is Administrative Assistant and has the following contact phone number (360) 412-8969.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 6/11/2015.


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
12085R0001XRadiologyRadiation OncologyYes

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
1GAB12925MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
27099153MEDICAIDWASHINGTON

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: 5/5/2024

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