Provider Demographics
NPI:1669689170
Name:CARDIO SOUND DIAGNOSTICS
Entity Type:Organization
Organization Name:CARDIO SOUND DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MIRZZA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-935-1718
Mailing Address - Street 1:19231 NE 19TH PL
Mailing Address - Street 2:19231 NE 19TH PLACE
Mailing Address - City:N MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4317
Mailing Address - Country:US
Mailing Address - Phone:305-935-1718
Mailing Address - Fax:
Practice Address - Street 1:19231 NE 19TH PL
Practice Address - Street 2:19231 NE 19TH PLACE
Practice Address - City:N MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-4317
Practice Address - Country:US
Practice Address - Phone:305-935-1718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty