Radiance Innovative Services, Llc

LBN: Radiance Innovative Services, Llc
Radiance Innovative Services, Llc is an health care organization with primary practice located at 880 Asylum Ave , Hartford CT 06105-1902. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Radiance Innovative Services, Llc can be contacted via phone (860) 817-8640, or through Frazier, Charles A. via phone (860) 817-8640.

Contact Information

Primary practice address
880 Asylum Ave Hartford CT 06105-1902
Phone: (860) 817-8640
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frazier, Charles A.
Phone: (860) 817-8640

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 006114 Connecticut

Profile Details

NPI number 1942589189
LBN Legal business name Radiance Innovative Services, Llc
DBA Doing business as
Authorized official Frazier, Charles A.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2011
Last updated Aug 5th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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