| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 4183155310 |
|---|---|
| Medicare Enrollment ID | O20240930000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295597391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nancy N Gogolakis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225781966 PECOS PAC ID: 4284165457 Enrollment ID: I20240930002519 |
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