Radiant Healthcare Services Llc | |
5100 Edina Industrial Blvd Ste 221 Edina MN 55439-3005 | |
(952) 855-3765 | |
Not Available |
Full Name | Radiant Healthcare Services Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 5100 Edina Industrial Blvd Ste 221, Edina, Minnesota |
Authorized Official Name and Position | Suheib Ali (OWNER) |
Authorized Official Contact | 9528553765 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Radiant Healthcare Services Llc 5100 Edina Industrial Blvd Ste 221 Edina MN 55439-3005 Ph: (952) 855-3765 | Radiant Healthcare Services Llc 5100 Edina Industrial Blvd Ste 221 Edina MN 55439-3005 Ph: (952) 855-3765 |
NPI Number | 1295597391 |
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Provider Enumeration Date | 01/25/2024 |
Last Update Date | 01/25/2024 |
Certification Date | 01/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295597391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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