Provider Demographics
NPI:1326478330
Name:CARDIAC LIFE PRODUCTS, INC.
Entity Type:Organization
Organization Name:CARDIAC LIFE PRODUCTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:BEKE
Authorized Official - Last Name:WYNNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-267-7775
Mailing Address - Street 1:PO BOX 25755
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-0755
Mailing Address - Country:US
Mailing Address - Phone:585-267-7775
Mailing Address - Fax:585-267-5218
Practice Address - Street 1:349 W COMMERCIAL ST
Practice Address - Street 2:SUITE 1400
Practice Address - City:EAST ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-2407
Practice Address - Country:US
Practice Address - Phone:585-286-3811
Practice Address - Fax:585-286-3822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies