Provider Demographics
NPI:1639232267
Name:NUCLEAR CARDIOLOGY CENTERS, INC
Entity Type:Organization
Organization Name:NUCLEAR CARDIOLOGY CENTERS, INC
Other - Org Name:CARDIOVASCULAR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:J
Authorized Official - Last Name:QUIROGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-926-7031
Mailing Address - Street 1:7855 S EMERSON AVE
Mailing Address - Street 2:STE N
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-8668
Mailing Address - Country:US
Mailing Address - Phone:317-888-2809
Mailing Address - Fax:317-888-1258
Practice Address - Street 1:7855 S EMERSON AVE
Practice Address - Street 2:STE N
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-8668
Practice Address - Country:US
Practice Address - Phone:317-888-2809
Practice Address - Fax:317-888-1258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN207RC0000X261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000376904OtherANTHEM GREENSBURG
IN223770Medicare ID - Type UnspecifiedGREENSBURG LOCATION