Provider Demographics
NPI:1265974836
Name:TELERADIOLOGY SPECIALISTS LLC
Entity type:Organization
Organization Name:TELERADIOLOGY SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GLAMARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:888-819-0808
Mailing Address - Street 1:4813 E PICCADILLY RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5540
Mailing Address - Country:US
Mailing Address - Phone:888-819-0808
Mailing Address - Fax:520-843-2818
Practice Address - Street 1:4813 E PICCADILLY RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5540
Practice Address - Country:US
Practice Address - Phone:888-819-0808
Practice Address - Fax:520-843-2818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-13
Last Update Date:2016-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty