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Contact Information

MISSOURI TELERAD LLC
5117 SOUTH NEFFLETON AVENUE
SPRINGFIELD, MO65810
 Phone: 469-401-2386
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MISSOURI TELERAD LLC

NPI Number 1578086310
LBN Legal business name MISSOURI TELERAD LLC
Authorized official TENNA BEHM - (OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2017
Last updated 07/24/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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