Provider Demographics
NPI:1710033014
Name:HEART TECHNOLOGIES, INC
Entity Type:Organization
Organization Name:HEART TECHNOLOGIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELVA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-303-3523
Mailing Address - Street 1:PO BOX 370447
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89137-0447
Mailing Address - Country:US
Mailing Address - Phone:702-303-3523
Mailing Address - Fax:
Practice Address - Street 1:8010 W SAHARA AVE STE 235
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-7911
Practice Address - Country:US
Practice Address - Phone:702-303-3523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
38176Medicare ID - Type Unspecified