MISSOURI TELERAD LLC NPI 1962729319

NPI Information

MISSOURI TELERAD LLC is a diagnostic radiology radiology in Kansas City, 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 1962729319. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

816 HUNTINGTON RD
KANSAS CITY, MO
ZIP 64113-344
Phone: (816) 361-1562
Fax: (241) 712-2487

The provider's authorized official is Philip Heckendorn .
The authorized official title is Executive Vice President and has the following contact phone number (214) 712-2074.

The CLIA number assigned to this NPI record is 26D2218017 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2010 and was last updated on 7/24/2012.

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:

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