Telerad Express, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

TELERAD EXPRESS, LLC

Practice address

23811 Chagrin Blvd
#114
Beachwood, OH 44122-5525

Phone

(216) 245-4190

Fax

(216) 378-0035

NPI assigned

Jun 17, 2008

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ethan Cohen

Title

Chief Executive Officer

Phone

(216) 245-4181

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1760643399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD",
            "address_2": "#114",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225525",
            "telephone_number": "216-245-4190",
            "fax_number": "216-378-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD",
            "address_2": "#114",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225525",
            "telephone_number": "216-245-4190",
            "fax_number": "216-378-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELERAD EXPRESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "216-245-4181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astgik Ambartsumian Taylor, QMHS-B, RN
• Genesis Taylor, LPCC
• Linda J Taylor, RN
• Taylormade Support Services LLC
• Stephanie Teeter
• Rachel Tenney, QMHS, CMS
• Natalie Ann Tennison
• Charles E Terry
• Michael N Tesler, LPCC-S
• Jennifer R Thatcher, O.D.

• Radiology Clinic/Center in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Radiology Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.