Provider Demographics
NPI:1457456295
Name:HEART SAVERS EAST COAST, LLC
Entity Type:Organization
Organization Name:HEART SAVERS EAST COAST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TOURAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:JAHANGIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-453-0800
Mailing Address - Street 1:110 W TIMONIUM ROAD
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093
Mailing Address - Country:US
Mailing Address - Phone:410-453-0800
Mailing Address - Fax:410-453-0267
Practice Address - Street 1:110 W TIMONIUM ROAD
Practice Address - Street 2:SUITE 1D
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093
Practice Address - Country:US
Practice Address - Phone:410-453-0800
Practice Address - Fax:410-453-0267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM260293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory