Provider Demographics
NPI:1336642685
Name:RADEX MOBILE NETWORK LLC
Entity type:Organization
Organization Name:RADEX MOBILE NETWORK LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CONRADO
Authorized Official - Middle Name:OLALIA
Authorized Official - Last Name:QUEMUEL
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:714-474-1149
Mailing Address - Street 1:1633 E 4TH ST STE 236
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-5144
Mailing Address - Country:US
Mailing Address - Phone:714-474-1149
Mailing Address - Fax:
Practice Address - Street 1:1633 E 4TH ST STE 236
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5144
Practice Address - Country:US
Practice Address - Phone:714-474-1149
Practice Address - Fax:866-888-0865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-13
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty