Provider Demographics
NPI:1376642017
Name:CARDIOVASCULAR IMAGING SERVICES
Entity Type:Organization
Organization Name:CARDIOVASCULAR IMAGING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAPA
Authorized Official - Suffix:
Authorized Official - Credentials:ARDMS, AART
Authorized Official - Phone:740-894-7155
Mailing Address - Street 1:189 COUNTY ROAD 276
Mailing Address - Street 2:
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-8912
Mailing Address - Country:US
Mailing Address - Phone:740-894-7155
Mailing Address - Fax:740-894-3390
Practice Address - Street 1:189 COUNTY ROAD 276
Practice Address - Street 2:
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-8912
Practice Address - Country:US
Practice Address - Phone:740-894-7155
Practice Address - Fax:740-894-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH38261247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Single Specialty