Provider Demographics
NPI:1639927957
Name:PURE HEART DIAGNOSTICS LLC
Entity type:Organization
Organization Name:PURE HEART DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:JANINE
Authorized Official - Last Name:STEELE-MCNEAL
Authorized Official - Suffix:
Authorized Official - Credentials:RCS
Authorized Official - Phone:317-777-9700
Mailing Address - Street 1:5620 E 30TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-3376
Mailing Address - Country:US
Mailing Address - Phone:317-377-4567
Mailing Address - Fax:
Practice Address - Street 1:5620 E 30TH ST STE C
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-3376
Practice Address - Country:US
Practice Address - Phone:317-377-4567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty