Provider Demographics
NPI:1346379179
Name:CARDIOVASCULAR DIAGNOSITCS
Entity Type:Organization
Organization Name:CARDIOVASCULAR DIAGNOSITCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:BURDETTE
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-263-9483
Mailing Address - Street 1:743 HORIZON CT
Mailing Address - Street 2:#105
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-8701
Mailing Address - Country:US
Mailing Address - Phone:970-263-9484
Mailing Address - Fax:970-263-9484
Practice Address - Street 1:743 HORIZON CT
Practice Address - Street 2:#105
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-8701
Practice Address - Country:US
Practice Address - Phone:970-263-9484
Practice Address - Fax:970-263-9484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO34540207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty