Provider Demographics
NPI:1386081248
Name:ALL-AMERICAN TELERADIOLOGY LLC
Entity type:Organization
Organization Name:ALL-AMERICAN TELERADIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRYSTY
Authorized Official - Middle Name:
Authorized Official - Last Name:RADABAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-365-5514
Mailing Address - Street 1:27005 KNICKERBOCKER RD
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-2383
Mailing Address - Country:US
Mailing Address - Phone:888-365-5514
Mailing Address - Fax:800-616-0084
Practice Address - Street 1:27101 E OVIATT RD STE 3
Practice Address - Street 2:
Practice Address - City:BAY VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44140-3301
Practice Address - Country:US
Practice Address - Phone:888-365-5514
Practice Address - Fax:800-616-0084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Multi-Specialty
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyGroup - Multi-Specialty
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric RadiologyGroup - Multi-Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028835000001Medicaid
OH0106448Medicaid
OK370457Medicare PIN
ILF1001453LMedicare PIN
PA1028835000001Medicaid
PA319887Medicare PIN
CO323114Medicare PIN
MA5100119676Medicare PIN
KY7100306570Medicare PIN
CACA111708Medicare PIN
FLHR048AMedicare PIN
OH0106448Medicaid
MS321025YV5WMedicare PIN
CACB234104Medicare PIN
PA319795Medicare PIN
GA202G709512Medicare PIN