Provider Demographics
NPI:1366015059
Name:INTELLI-HEART SERVICES INC
Entity Type:Organization
Organization Name:INTELLI-HEART SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-470-9470
Mailing Address - Street 1:1400 REYNOLDS AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5563
Mailing Address - Country:US
Mailing Address - Phone:310-470-9470
Mailing Address - Fax:
Practice Address - Street 1:1400 REYNOLDS AVE STE 205
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5563
Practice Address - Country:US
Practice Address - Phone:310-470-9470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory