| Organization Name: | ARIZONA HEART PERFUSION, LLC |
| NPI Number: | 1932404050 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY F MANDILE (PRESIDENT) |
| Mailing Address: | 5801 S Mcclintock Dr 110 Tempe |
| State: | AZ US |
| Postal Code: | 852836002 |
| Phone Number: | 4807770607 |
| Fax Number: | 4807771345 |
| NPI Enumeration Date: | 01/20/2011 |
| NPI Last Update Date: | 01/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 242T00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Perfusionist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |