Provider Demographics
NPI:1699808071
Name:CARDIOVASCULAR IMAGING CONSULTANTS LLC
Entity Type:Organization
Organization Name:CARDIOVASCULAR IMAGING CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MILBOURNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-751-7161
Mailing Address - Street 1:2070 SPRINGDALE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2043
Mailing Address - Country:US
Mailing Address - Phone:856-751-7161
Mailing Address - Fax:856-751-1667
Practice Address - Street 1:2070 SPRINGFIELD RD
Practice Address - Street 2:STE 100
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003
Practice Address - Country:US
Practice Address - Phone:856-751-7161
Practice Address - Fax:856-751-1667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06857100291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory