Active NPI
Telerad of de Account Managment, LLC
- Diagnostic Radiology Physician
- Wilmington, DE
National Provider Identifier
1871865956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- TELERAD OF DE ACCOUNT MANAGMENT, LLC
- Practice address
- 340 S. Madison St #706
Wilmington, DE 19801-0000 - Phone
- (214) 712-2074
- Fax
- (214) 712-2487
- NPI assigned
- Feb 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Zimmerman
- Title
- President
- Phone
- (214) 712-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
340 S. Madison St #706
Wilmington, DE 19801-0000
Mailing address
13737 Noel Rd
Suite 1600
Dallas, TX 75240-1331
Phone (214) 712-2074
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343088000000",
"number": "1871865956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "SUITE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331",
"telephone_number": "214-712-2074",
"fax_number": "214-712-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 S. MADISON ST #706",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198010000",
"telephone_number": "214-712-2074",
"fax_number": "214-712-2487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELERAD OF DE ACCOUNT MANAGMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-03",
"last_updated": "2012-07-24",
"status": "A",
"authorized_official_last_name": "ZIMMERMAN",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-712-2000"
},
"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 Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.