MISSOURI TELERAD LLC NPI 1578086310

NPI Information

NPI: 1578086310
Provider Name: MISSOURI TELERAD LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
5117 SOUTH NEFFLETON AVENUE
SPRINGFILED, MO
ZIP 65810
Phone: (469) 401-2386
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MISSOURI TELERAD LLC is a diagnostic radiology radiology in Springfiled, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MISSOURI TELERAD LLC NPI is 1578086310. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5117 SOUTH NEFFLETON AVENUE
SPRINGFILED, MO
ZIP 65810
Phone: (469) 401-2386

The provider's authorized official is Tenna K Behm .
The authorized official title is Officer and has the following contact phone number (469) 401-2386.

The enumeration date for this NPI number is 7/24/2017 and was last updated on 7/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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