MEDICARE: TELECARDIO SYSTEMS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1053424523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TELECARDIO SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	1 INNWOOD CIR
Second Line	:	SUITE 102
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-2447
Country	:	US
Telephone Number	:	501-221-2521
Fax Number	:	501-312-9537

Provider Business Practice Location Address
First Line	:	1 INNWOOD CIR
Second Line	:	SUITE 102
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-2447
Country	:	US
Telephone Number	:	501-221-2521
Fax Number	:	501-312-9537

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RICHARD TIMOTHY EVANS
Credential	:	BS, CCT
Telephone Number	:	501-221-2521

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	08/22/2020

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Directions to “TELECARDIO SYSTEMS, INC. ” Practice Location

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