Cardiomedix Incorporated in Evanston - Physiological Laboratory

Cardiomedix Incorporated - NPI 1053491084

Cardiomedix Incorporated is a Physiological Laboratory in Evanston, Illinois. Cardiomedix Incorporated practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for Cardiomedix Incorporated is 1053491084. The last update date is 2021-03-18.

Cardiomedix Incorporated's current location address is 1840 Oak Ave, Evanston, Illinois. You can contact this provider via phone number 8478690230. The mailing address for Cardiomedix Incorporated is 1840 Oak Ave, Evanston, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cardiomedix Incorporated
Address 1840 Oak Ave, Evanston, Illinois
Phone Number 8478690230
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name David Zipora
Telephone Number 8478690230

NPI Number Detail

NPI Number 1053491084
Provider Enumeration Date 2006-10-16
Last Updated Date 2021-03-18

Provider Mailing Address Detail

Address 1840 Oak Ave
City Evanston
State Illinois (IL)
Post Code 602013642
Phone Number 8478690230
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physiological Laboratory
Taxonomy 293D00000X
Definition:
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratorie

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36051641 IL --
4461000 IL AETNA
1632474 IL BLUE CROSS BLUE SHIELD

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FAQs about Cardiomedix Incorporated

What is the unique 10-digit identification code issued to Cardiomedix Incorporated by the Centers for Medicare & Medicaid Services?

The Cardiomedix Incorporated has been assigned the NPI (National Provider Identifier) 1053491084 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Cardiomedix Incorporated is physically located?

The Cardiomedix Incorporated is physically situated at the following address: 1840 Oak Ave, Evanston, IL, 602013642.

What is Cardiomedix Incorporated's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Cardiomedix Incorporated is Physiological Laboratory, and the taxonomy classification code that categorizes this area of expertise is 293D00000X.

On what date did Cardiomedix Incorporated receive its 1053491084 assignment from the Centers for Medicare & Medicaid Services?

The Cardiomedix Incorporated was assigned its 1053491084 on 2006-10-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Cardiomedix Incorporated's information last updated?

The Cardiomedix Incorporated's information was last updated on 2021-03-18.

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