| Organization Name: | CARDIOVASCULAR ASSESSMENT & DIAGNOSTIC SERVICES, LLC |
| NPI Number: | 1922235209 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT A MUNCY (OWNER) |
| Mailing Address: | 229 S Chillicothe St Plain City |
| State: | OH US |
| Postal Code: | 430641240 |
| Phone Number: | 6145632183 |
| Fax Number: | 6148731001 |
| NPI Enumeration Date: | 06/15/2009 |
| NPI Last Update Date: | 06/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471V0105X |
| License Number: | 16565 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Vascular Sonography |
| Taxonomy Definition: | |