Provider Demographics
NPI:1376128587
Name:TELERADIOLOGY SPECIALISTS OF PENNSYLVANIA, P.L.L.C.
Entity Type:Organization
Organization Name:TELERADIOLOGY SPECIALISTS OF PENNSYLVANIA, P.L.L.C.
Other - Org Name:TELERADIOLOGY SPECIALISTS OF PENNSYLVANIA, P.L.L.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-190-8088
Mailing Address - Street 1:4510 E CALLE REDONDA
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-3818
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6425 LIVING PL STE 200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-5122
Practice Address - Country:US
Practice Address - Phone:888-819-0808
Practice Address - Fax:779-666-8065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology