Organization Name: | COMPREHENSIVE CARDIOVASCULAR CONSULTANTS, INC. |
NPI Number: | 1205123387 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAFFI KRIKORIAN (OWNER) |
Mailing Address: | 3760 S Lindbergh Blvd Suite 101 Saint Louis |
State: | MO US |
Postal Code: | 631271374 |
Phone Number: | 3148490923 |
Fax Number: | 3148495716 |
NPI Enumeration Date: | 07/08/2011 |
NPI Last Update Date: | 07/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | MDR4P45 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |