| Organization Name: | HEART SMART IMAGING, LLC |
| NPI Number: | 1023149150 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICKY ALBAUGH (OWNER) |
| Mailing Address: | 9461 Winewood Cir Elk Grove |
| State: | CA US |
| Postal Code: | 957587926 |
| Phone Number: | 9166849520 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246XS1301X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |