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PHOENIX CARDIOVASCULAR INC. NPI 1053388397


NPI Information

NPI: 1053388397
Provider Name: PHOENIX CARDIOVASCULAR, INC.
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
585 STEWART AVE
LL16
GARDEN CITY, NY
ZIP 11530
Phone: (508) 880-3700
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PHOENIX CARDIOVASCULAR, INC. is a physiological laboratory in Garden City, NY. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. PHOENIX CARDIOVASCULAR, INC. NPI is 1053388397. The provider is registered as an organization entity type.

The provider's business location address is:

585 STEWART AVE
LL16
GARDEN CITY, NY
ZIP 11530-783
Phone: (508) 880-3700

The provider's authorized official is Cheryl A Ford .
The authorized official title is Ceo and has the following contact phone number (508) 880-3700.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 4/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FDV001MEDICARE ID-TYPE UNSPECIFIEDDISTRICT OF COLUMBIAMEDICARE
297ZA61MEDICARE PINNEW YORK
397ZB31MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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