Provider Demographics
NPI:1295084309
Name:CARDIOLOGY PREVENTION, LLC
Entity type:Organization
Organization Name:CARDIOLOGY PREVENTION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BREGMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-386-8685
Mailing Address - Street 1:333 WASHINGTON AVE N FL 3
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-2263
Mailing Address - Country:US
Mailing Address - Phone:612-444-3174
Mailing Address - Fax:
Practice Address - Street 1:2800 CAMPUS DR STE 44
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-2669
Practice Address - Country:US
Practice Address - Phone:612-913-9758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center