Organization Name: | CARDIAC IMAGING INC |
NPI Number: | 1770830606 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAMUEL R KANCHERLAPALLI (PRESIDENT) |
Mailing Address: | 5085 Iberville Street Suite A Saint Gabriel |
State: | LA US |
Postal Code: | 707764947 |
Phone Number: | 8009982035 |
Fax Number: | 6303440923 |
NPI Enumeration Date: | 08/09/2012 |
NPI Last Update Date: | 01/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0208X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile |
Taxonomy Definition: |