Provider Demographics
NPI:1235266370
Name:HEARTSMART IMAGING INC
Entity Type:Organization
Organization Name:HEARTSMART IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NILETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:KERN
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS, RVT
Authorized Official - Phone:407-947-9030
Mailing Address - Street 1:1756 WATERBEACH CT
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-7637
Mailing Address - Country:US
Mailing Address - Phone:407-947-9030
Mailing Address - Fax:407-296-0041
Practice Address - Street 1:1756 WATERBEACH CT
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-7637
Practice Address - Country:US
Practice Address - Phone:407-947-9030
Practice Address - Fax:407-296-0041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile