# TELERAD EXPRESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760643399
- **Authorized official:** MR. ETHAN COHEN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (216) 245-4181

## Contact information

- **Practice address:** 23811 CHAGRIN BLVD, \#114, BEACHWOOD, OH 44122-5525
- **Practice address phone:** (216) 245-4190
- **Practice address fax:** (216) 378-0035
- **Mailing address:** 23811 CHAGRIN BLVD, \#114, BEACHWOOD, OH 44122-5525
- **Mailing address phone:** (216) 245-4190
- **Mailing address fax:** (216) 378-0035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2008
- **Last updated:** 06/17/2008