Provider Demographics
NPI:1578777595
Name:CARDIOSONICS, INC.
Entity Type:Organization
Organization Name:CARDIOSONICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:RCS, ARNP
Authorized Official - Phone:813-310-4992
Mailing Address - Street 1:11504 WHISPERING HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-1540
Mailing Address - Country:US
Mailing Address - Phone:813-310-4992
Mailing Address - Fax:813-891-1420
Practice Address - Street 1:11504 WHISPERING HOLLOW DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-1540
Practice Address - Country:US
Practice Address - Phone:813-310-4992
Practice Address - Fax:813-891-1420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile