National Provider Identifier Database

CARDIAC IMAGING CENTER PLLC
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

CARDIAC IMAGING CENTER, PLLC.
331 LAIDLEY ST
SUITE 402
CHARLESTON, WV25301-1619
Phone: 304-419-0395
Fax:
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for CARDIAC IMAGING CENTER, PLLC.

NPI Number 1093991564
Legal business name
LBN
CARDIAC IMAGING CENTER, PLLC.
Authorized official BASSAM MOUSHMOUSH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/15/2008
Last updated 01/15/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 01010/4730849-01
  • WV Medicaid: 0073986000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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