Provider Demographics
NPI:1689636862
Name:MOBILE CARDIOVASCULAR IMAGING, INC
Entity Type:Organization
Organization Name:MOBILE CARDIOVASCULAR IMAGING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:ALDERFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-534-1242
Mailing Address - Street 1:617 BLUE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-3123
Mailing Address - Country:US
Mailing Address - Phone:215-534-1242
Mailing Address - Fax:215-257-2072
Practice Address - Street 1:617 BLUE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-3123
Practice Address - Country:US
Practice Address - Phone:215-534-1242
Practice Address - Fax:215-257-2072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA096962Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER