Organization · NPI-2

Cardiovascular Imaging INC

Clinic/Center · Beaumont, TX

NPI number1801900519
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1801900519
Entity type
Organization (NPI-2)
Legal business name
Cardiovascular Imaging INC
Organization subpart
No
Enumeration date
Aug 18, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

2955 Harrison St
Suite 105
Beaumont, TX 77702-1154

Phone 409-898-8007 · Fax 409-898-8116

Mailing address

2955 Harrison St
Suite 105
Beaumont, TX 77702-1154

Phone 409-898-8007 · Fax 409-898-8116

Authorized official

Dennis John Landry
Registered Diagnostic Medical Sonog
4098988007

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