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CARDIO DIAGNOSTIC SYSTEMS S.C. NPI 1720158264


NPI Information

NPI: 1720158264
Provider Name: CARDIO DIAGNOSTIC SYSTEMS, S.C.
Classification: Specialist/Technologist Cardiovascular - 246X00000X
Entity Type: Organization
Address:
10035 LINCOLN TRL
FAIRVIEW HEIGHTS, IL
ZIP 62208
Phone: (618) 397-7300
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CARDIO DIAGNOSTIC SYSTEMS, S.C. is a specialist technologist cardiovascular in Fairview Heights, IL. The provider is an allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular technologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs CARDIO DIAGNOSTIC SYSTEMS, S.C. NPI is 1720158264. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10035 LINCOLN TRL
FAIRVIEW HEIGHTS, IL
ZIP 62208-847
Phone: (618) 397-7300
Fax: (618) 397-7735

The provider's authorized official is Pankaj S Shah .
The authorized official title is President and has the following contact phone number (618) 397-7300.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246X00000XSpecialist/Technologist CardiovascularILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036054481MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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