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CARDIAC MOLECULAR PET IMAGING LLC NPI 1629586458


NPI Information

NPI: 1629586458
Provider Name: CARDIAC MOLECULAR PET IMAGING LLC
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
2030 FOREST AVE STE 110
SAN JOSE, CA
ZIP 95128
Phone: (702) 817-0375
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CARDIAC MOLECULAR PET IMAGING LLC is a physiological laboratory in San Jose, CA. 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 MOLECULAR PET IMAGING LLC NPI is 1629586458. The provider is registered as an organization entity type.

The provider's business location address is:

2030 FOREST AVE STE 110
SAN JOSE, CA
ZIP 95128-833
Phone: (702) 817-0375

The provider's authorized official is James Ballow .
The authorized official title is Vice President and has the following contact phone number (702) 817-0375.

The enumeration date for this NPI number is 1/15/2018 and was last updated on 12/17/2021.


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 LaboratoryNV20161669909NEVADAYes

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

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