Provider Type Icon

CARDIAC IMAGING CENTER PLLC. NPI 1093991564


NPI Information

NPI: 1093991564
Provider Name: CARDIAC IMAGING CENTER, PLLC.
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
331 LAIDLEY ST
SUITE 402
CHARLESTON, WV
ZIP 25301
Phone: (304) 419-0395
Get Directions

CARDIAC IMAGING CENTER, PLLC. is a physiological laboratory in Charleston, WV. 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. CARDIAC IMAGING CENTER, PLLC. NPI is 1093991564. The provider is registered as an organization entity type.

The provider's business location address is:

331 LAIDLEY ST
SUITE 402
CHARLESTON, WV
ZIP 25301-619
Phone: (304) 419-0395

The provider's authorized official is Bassam Moushmoush .
The authorized official title is Owner and has the following contact phone number (304) 419-0395.

The enumeration date for this NPI number is 1/15/2008 and was last updated on 1/15/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1293D00000XPhysiological Laboratory01010/4730849-01WEST VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10073986000MEDICAIDWEST VIRGINIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.