Provider Demographics
NPI:1164396529
Name:ALL HEART IMAGING LLC
Entity type:Organization
Organization Name:ALL HEART IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ULTRASOUND TECHNOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GAVIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS(AE PE)
Authorized Official - Phone:347-775-6801
Mailing Address - Street 1:686 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-6312
Mailing Address - Country:US
Mailing Address - Phone:347-775-6801
Mailing Address - Fax:347-775-6801
Practice Address - Street 1:686 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-6312
Practice Address - Country:US
Practice Address - Phone:347-775-6801
Practice Address - Fax:347-775-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier