ADVANCED CARDIOLOGY DIAGNOSTIC CENTERS LLC NPI 1679727531

NPI Information

NPI: 1679727531
Provider Name: ADVANCED CARDIOLOGY DIAGNOSTIC CENTERS LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2401 W GLENDALE AVE
SUITE 208
PHOENIX, AZ
ZIP 85021
Phone: (602) 424-1868
Get Directions

ADVANCED CARDIOLOGY DIAGNOSTIC CENTERS LLC is a cardiovascular disease internal medicine in Phoenix, AZ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ADVANCED CARDIOLOGY DIAGNOSTIC CENTERS LLC NPI is 1679727531. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2401 W GLENDALE AVE
SUITE 208
PHOENIX, AZ
ZIP 85021-677
Phone: (602) 424-1868
Fax: (602) 424-1874

The provider's authorized official is Jim Boehle .
The authorized official title is President and has the following contact phone number (602) 424-1868.

The enumeration date for this NPI number is 11/5/2008 and was last updated on 5/4/2010.

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
1	207RI0011X	Internal Medicine	Interventional Cardiology	32892	ARIZONA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	32892	ARIZONA	Yes

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
1	497237	MEDICAID	ARIZONA
2	Z134568	MEDICARE PIN

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

NPI Synchronization or Removal

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