Organization · NPI-2
Heartpumper Incorporated
Legal Medicine · Melbourne, FL
NPI number1407058480
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1407058480
- Entity type
- Organization (NPI-2)
- Legal business name
- Heartpumper Incorporated
- Organization subpart
- No
- Enumeration date
- Jun 3, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 173000000X | Legal Medicine | – | – | Yes |
| 1744R1102X | Specialist, Research Study | – | FL | |
| 242T00000X | Perfusionist | – | FL | |
| 246QH0401X | Spec/Tech, Pathology, Hemapheresis Practitioner | – | FL | |
| 246RP1900X | Technician, Pathology, Phlebotomy | – | FL | |
| 246XC2901X | Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist | – | FL | |
| 2472B0301X | Technician, Other, Biomedical Engineering | – | FL | |
| 2472V0600X | Technician, Other, Veterinary | – | FL |
Practice location
5302 Outlook DrMelbourne, FL 32940-2345
Phone 321-480-3008
Mailing address
5302 Outlook DrMelbourne, FL 32940-2345
Phone 321-480-3008
Authorized official
Richard Anthony Raley
Ceo, Sr. Clinical Perfusionist
3214803008
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