| Organization Name: | ADVANCED CARDIOVASCULAR DIAGNOSTIC |
| NPI Number: | 1003280660 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY JONES (OPERATIONS MANAGER) |
| Mailing Address: | 6565 West Loop S Suite 300 Bellaire |
| State: | TX US |
| Postal Code: | 774013500 |
| Phone Number: | 7136691242 |
| Fax Number: | |
| NPI Enumeration Date: | 11/19/2015 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |