Provider Demographics
NPI:1700389616
Name:CARDIAC MONITORING SERVICES, LLC
Entity Type:Organization
Organization Name:CARDIAC MONITORING SERVICES, LLC
Other - Org Name:CARDIAC MONITORING SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-371-9711
Mailing Address - Street 1:232 WEST MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTOUR FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14865
Mailing Address - Country:US
Mailing Address - Phone:914-265-9391
Mailing Address - Fax:
Practice Address - Street 1:232 WEST MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNTOR FALLS,
Practice Address - State:NY
Practice Address - Zip Code:14865
Practice Address - Country:US
Practice Address - Phone:914-265-9391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-16
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory