Provider Demographics
NPI:1073586202
Name:CARDIOVASCULAR IMAGING, INC.
Entity Type:Organization
Organization Name:CARDIOVASCULAR IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EMERSON
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:985-892-9233
Mailing Address - Street 1:64040 HIGHWAY 434
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LACOMBE
Mailing Address - State:LA
Mailing Address - Zip Code:70445-3456
Mailing Address - Country:US
Mailing Address - Phone:985-892-9233
Mailing Address - Fax:985-871-9345
Practice Address - Street 1:64040 HIGHWAY 434
Practice Address - Street 2:SUITE 200
Practice Address - City:LACOMBE
Practice Address - State:LA
Practice Address - Zip Code:70445-3456
Practice Address - Country:US
Practice Address - Phone:985-892-9233
Practice Address - Fax:985-871-9345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA57222Medicare ID - Type Unspecified