Provider Demographics
NPI:1851720163
Name:RAYTEL CARDIAC SERVICES INC
Entity Type:Organization
Organization Name:RAYTEL CARDIAC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-530-7700
Mailing Address - Street 1:19387 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3102
Mailing Address - Country:US
Mailing Address - Phone:727-431-8462
Mailing Address - Fax:877-524-9504
Practice Address - Street 1:7 WATERSIDE CROSSING
Practice Address - Street 2:STE 301
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-0727
Practice Address - Country:US
Practice Address - Phone:860-298-6100
Practice Address - Fax:680-298-6125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty