CARDIAC CATH LAB OF PHOENIX LP NPI 1841650850

NPI Information

NPI: 1841650850
Provider Name: CARDIAC CATH LAB OF PHOENIX, LP

Doing Business As: CARDIAC CATH LAB OF PHOENIX

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1910 E THOMAS RD
SUITE 101
PHOENIX, AZ
ZIP 85016
Phone: (713) 812-7586
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CARDIAC CATH LAB OF PHOENIX, LP is a multi-specialty clinic center in Phoenix, AZ. CARDIAC CATH LAB OF PHOENIX, LP NPI is 1841650850. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cardiac Cath Lab Of Phoenix.

The provider's business location address is:

1910 E THOMAS RD
SUITE 101
PHOENIX, AZ
ZIP 85016-766
Phone: (713) 812-7586

The provider's authorized official is Gregg Miller .
The authorized official title is Sr. Vice President and has the following contact phone number (610) 644-8900.

The CLIA number assigned to this NPI record is 03D2113233 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/3/2016 and was last updated on 7/1/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	No
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
3	207RI0011X	Internal Medicine	Interventional Cardiology	No
4	2085R0204X	Radiology	Vascular & Interventional Radiology	No
5	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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: 11/14/2023

NPI Synchronization or Removal

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