CARDIAC DIAGNOSTIC CENTER LLC; NPI #1699750695

Contact Information

CARDIAC DIAGNOSTIC CENTER LLC

10004 KENNERLY RD
SUITE 281B
SAINT LOUIS, MO 63128-2141

Phone: 314-543-5270
Fax: 314-543-5289
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nuclear Imaging & Therapy	207UN0902X	36	Physician/Nuclear Medicine

Indicates primary specialty

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NPI Profile & details for CARDIAC DIAGNOSTIC CENTER LLC

NPI # 1699750695

LBN Legal business name CARDIAC DIAGNOSTIC CENTER LLC

Authorized official CAT LOPEZ - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/13/2005

Last updated 08/13/2009 - About 17 years ago

Identifiers

MO	License #	4560
MO	Other	27454	BLUE CHOICE
MO	Other	157621	BLUE CROSS/ BLUE SHIELD
MO	Other	8285720	CIGNA
MO	Other	511284	HEALTHLINK
MO	Other	A11496	MERCY
MO	Other	CJ7575	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CARDIAC DIAGNOSTIC CENTER LLC

Contact Information

Specialty

Nuclear Imaging & Therapy

NPI Profile & details for CARDIAC DIAGNOSTIC CENTER LLC

Reviews for CARDIAC DIAGNOSTIC CENTER LLC