CARDIOVASCULAR PERFUSION ALLIANCE LLC NPI 1336268770

NPI Information

  • NPI: 1336268770
  • Provider Name: CARDIOVASCULAR PERFUSION ALLIANCE LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 37D1012806
  • Address: 3601 N MAY AVE
    STE C
    OKLAHOMA CITY, OK
    ZIP 73112
  • Phone: (405) 604-5613

Map and Directions

Get Directions

NPI Details

CARDIOVASCULAR PERFUSION ALLIANCE LLC is a specialist in Oklahoma City, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CARDIOVASCULAR PERFUSION ALLIANCE LLC NPI is 1336268770. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3601 N MAY AVE
STE C
OKLAHOMA CITY, OK
ZIP 73112-641
Phone: (405) 604-5613
Fax: (405) 601-3750

The provider's authorized official is Charles Dewayne Poor .
The authorized official title is President and has the following contact phone number (405) 604-5613.

The CLIA number assigned to this NPI record is 37D1012806 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistLP24OKLAHOMAYes

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: 11/21/2025

NPI Synchronization or Removal

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.