Provider Demographics
NPI:1770830606
Name:CARDIAC IMAGING INC
Entity Type:Organization
Organization Name:CARDIAC IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:KANCHERLAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-998-2035
Mailing Address - Street 1:TWO TRANSAM PLAZA DRIVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:OAK BROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181
Mailing Address - Country:US
Mailing Address - Phone:800-998-2035
Mailing Address - Fax:630-344-0923
Practice Address - Street 1:TWO TRANSAM PLAZA DRIVE
Practice Address - Street 2:SUITE 420
Practice Address - City:OAK BROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181
Practice Address - Country:US
Practice Address - Phone:800-998-2035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile