Provider Demographics
NPI:1922248053
Name:CARDIOVISION, LLC
Entity Type:Organization
Organization Name:CARDIOVISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CARDIOVASCULAR SONOGRAPHER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS
Authorized Official - Phone:661-253-4421
Mailing Address - Street 1:24816 SOUTHERN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:STEVENSON RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91381-1811
Mailing Address - Country:US
Mailing Address - Phone:661-253-4421
Mailing Address - Fax:
Practice Address - Street 1:24816 SOUTHERN OAKS DR
Practice Address - Street 2:
Practice Address - City:STEVENSON RANCH
Practice Address - State:CA
Practice Address - Zip Code:91381-1811
Practice Address - Country:US
Practice Address - Phone:661-253-4421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty
No246XC2901XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularCardiovascular Invasive SpecialistGroup - Multi-Specialty
No246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular SpecialistGroup - Multi-Specialty