Provider Demographics
NPI:1073960035
Name:CARDIAC TECHNOLOGIES, INC.
Entity Type:Organization
Organization Name:CARDIAC TECHNOLOGIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:OTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-915-4802
Mailing Address - Street 1:401 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3228
Mailing Address - Country:US
Mailing Address - Phone:630-915-4802
Mailing Address - Fax:630-887-1725
Practice Address - Street 1:401 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3228
Practice Address - Country:US
Practice Address - Phone:630-915-4802
Practice Address - Fax:630-887-1725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier