Basic Information
Provider Information
NPI: 1467771147
EntityType: 2
ReplacementNPI:  
OrganizationName: REMOTE DIAGNOSTIC INTERPRETERS PC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1060 JADWIN AVE
Address2: SUITE 100
City: RICHLAND
State: WA
PostalCode: 993523511
CountryCode: US
TelephoneNumber: 5594554000
FaxNumber: 5594554007
Practice Location
Address1: 174 FIRST AVENUE NORTH
Address2:  
City: ILWACO
State: WA
PostalCode: 986240258
CountryCode: US
TelephoneNumber: 5594554000
FaxNumber: 5594554007
Other Information
ProviderEnumerationDate: 05/20/2010
LastUpdateDate: 09/09/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: RHEE
AuthorizedOfficialFirstName: RICHARD
AuthorizedOfficialMiddleName: J
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 5594554000
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


Home