FT WAYNE CARDIAC CENTER LLC NPI 1295749117

NPI Information

FT WAYNE CARDIAC CENTER LLC is an ambulatory surgical clinic center in Fort Wayne, IN. FT WAYNE CARDIAC CENTER LLC NPI is 1295749117. The provider is registered as an organization entity type.

The provider's business location address is:

7910 W JEFFERSON BLVD
STE. 120
FORT WAYNE, IN
ZIP 46804-159
Phone: (260) 432-2297
Fax: (260) 436-4380

The provider's authorized official is Joel Sauer .
The authorized official title is Member and has the following contact phone number (260) 432-2297.

The CLIA number assigned to this NPI record is 15D2178632 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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