Provider Demographics
NPI:1518640325
Name:CARDIOLOGX DIAGNOSTIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:CARDIOLOGX DIAGNOSTIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:IYAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOU ALFATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-348-0700
Mailing Address - Street 1:PO BOX 3413
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-8188
Mailing Address - Country:US
Mailing Address - Phone:972-348-0700
Mailing Address - Fax:
Practice Address - Street 1:9319 LYNDON B JOHNSON FWY STE 204
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3453
Practice Address - Country:US
Practice Address - Phone:888-977-7455
Practice Address - Fax:972-928-9504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
No335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier