Provider Demographics
NPI:1699350181
Name:RAPID RESPONSE PORTABLE X-RAY, LLC
Entity type:Organization
Organization Name:RAPID RESPONSE PORTABLE X-RAY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GOLDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLATSCHEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-234-9904
Mailing Address - Street 1:133 MEADOWLARK DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2235
Mailing Address - Country:US
Mailing Address - Phone:502-234-9904
Mailing Address - Fax:502-234-9908
Practice Address - Street 1:133 MEADOWLARK DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2235
Practice Address - Country:US
Practice Address - Phone:502-234-9904
Practice Address - Fax:502-234-9908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1135790OtherORGANIZATION NUMBER