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Contact Information

CARDIAC IMAGING CENTER, PLLC.
331 LAIDLEY ST
SUITE 402
CHARLESTON, WV25301-1619
 Phone: 304-419-0395
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for CARDIAC IMAGING CENTER, PLLC.

NPI Number 1093991564
LBN Legal business name CARDIAC IMAGING CENTER, PLLC.
Authorized official BASSAM MOUSHMOUSH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/15/2008
Last updated 01/15/2008 - About 18 years ago
Identifiers
WV License # 01010/4730849-01
WV Medicaid 0073986000
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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