TRIAD ISOTOPES INC (NPI# 1639437783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639437783 |
| Entity Type | Organization |
| Organization Name | TRIAD ISOTOPES INC |
| Other Organization Name | TRIAD ISOTOPES, INC. |
| Practice Address |
613 Stephenson Ave Ste 108 Savannah GA 31405-5986 |
| Practice Telephone | 9123558020 |
| Practice Fax Number | 9123553685 |
| Mailing Telephone | 9123558020 |
| Mailing Fax Number | 9123553685 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | CLAUDIA GRIFFITHS (SVP, FINANCE &ADMINISTRATION) |
| Authorized Official Telephone | 4074556700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336N0007X |
Pharmacy Specialization: Nuclear Pharmacy |
PHNU007690 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2134869 | 01 |
| Other Name | Type Code |
|---|---|
| Triad Isotopes, Inc. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Triad Isotopes Inc. | 4205 Vineland Rd, Ste L-1, Orlando, Florida 32811 |
| Street Address |
613 STEPHENSON AVE STE 108 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-5986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689864860 | Urology Specialists of Coastal Georgia | Urology | 613 Stephenson Ave, Ste #208, Savannah, GA 31405 | 2007-07-25 |
| 1104392984 | Keith Tatum | Behavior Technician | 613 Stephenson Ave, Savannah, GA 31405-5986 | 2018-10-18 |
| 1386130235 | Mandip Kaur | Behavioral Analyst | 613 Stephenson Ave, Savannah, GA 31405-5986 | 2018-07-03 |
| 1205337243 | Elias Frazier | Behavior Technician | 613 Stephenson Ave, Savannah, GA 31405-5986 | 2018-02-26 |
| 1962680017 | Savannah Health Services LLC | Durable Medical Equipment & Medical Supplies | 613 Stephenson Ave, Suite 103, Savannah, GA 31405-5986 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 3336N0007X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Nuclear Pharmacy |
| A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
Please comment or provide details below to improve the information on TRIAD ISOTOPES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.