Provider Demographics
NPI:1851188726
Name:RADIANCE TECH LLC
Entity type:Organization
Organization Name:RADIANCE TECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAHEED
Authorized Official - Middle Name:
Authorized Official - Last Name:MIR
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:847-454-4975
Mailing Address - Street 1:2300 E BARRINGTON RD
Mailing Address - Street 2:SUITE 470
Mailing Address - City:HOFFMAN ESTATE
Mailing Address - State:IL
Mailing Address - Zip Code:60149
Mailing Address - Country:US
Mailing Address - Phone:847-454-4975
Mailing Address - Fax:888-362-8707
Practice Address - Street 1:2300 E BARRINGTON RD
Practice Address - Street 2:SUITE 470
Practice Address - City:HOFFMAN ESTATE
Practice Address - State:IL
Practice Address - Zip Code:60149
Practice Address - Country:US
Practice Address - Phone:847-454-4975
Practice Address - Fax:888-362-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies