Telerad Imaging

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

TELERAD IMAGING

Practice address

112 S Euclid Ave
Suite 204
Ontario, CA 91762-3809

Phone

(562) 577-1642

NPI assigned

Mar 28, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Angel Soriano, AMRIT

Title

MRI Technologist

Phone

(562) 577-1642

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1538435185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S EUCLID AVE",
            "address_2": "SUITE 204",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623809",
            "telephone_number": "562-577-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S EUCLID AVE",
            "address_2": "SUITE 204",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623809",
            "telephone_number": "562-577-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELERAD IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "MRI TECHNOLOGIST",
        "authorized_official_telephone_number": "562-577-1642",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AMRIT"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Supports Brokerage Agency in Ontario, CA
• Providers in Ontario, CA by specialty
• Supports Brokerage Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.