Provider Demographics
NPI:1124570973
Name:ADVANCED CARDIOVASULAR DIAGNOSTICS PRO LLC
Entity Type:Organization
Organization Name:ADVANCED CARDIOVASULAR DIAGNOSTICS PRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-669-1242
Mailing Address - Street 1:6565 WEST LOOP S
Mailing Address - Street 2:300
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3500
Mailing Address - Country:US
Mailing Address - Phone:713-987-7765
Mailing Address - Fax:713-583-1995
Practice Address - Street 1:6565 WEST LOOP S
Practice Address - Street 2:300
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3500
Practice Address - Country:US
Practice Address - Phone:713-987-7765
Practice Address - Fax:713-583-1995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Single Specialty