Missouri Telerad LLC

Key facts

NPI

1578086310

Entity type

Organization (NPI type 2)

Primary specialty

Diagnostic Radiology Physician 2085R0202X

Legal business name

MISSOURI TELERAD LLC

Practice address

5117 South Neffleton Avenue
Springfiled, MO 65810

Phone

(469) 401-2386

NPI assigned

Jul 24, 2017

Organization subpart

No

Authorized official

Name

Tenna K Behm

Title

Officer

Phone

(469) 401-2386

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 24, 2017.

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1578086310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401374",
            "telephone_number": "469-401-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 SOUTH NEFFLETON AVENUE",
            "city": "SPRINGFILED",
            "state": "MO",
            "postal_code": "65810",
            "telephone_number": "469-401-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI TELERAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "BEHM",
        "authorized_official_first_name": "TENNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "469-401-2386"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfiled, MO

• Yvonne M Murtha, MD

All providers in Springfiled, MO · Diagnostic Radiology Physician in Missouri