Provider Demographics
NPI: | 1144704339 |
---|---|
Name: | CARDIAC MONITORING SOLUTIONS LLC |
Entity type: | Organization |
Organization Name: | CARDIAC MONITORING SOLUTIONS LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SHEA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ROSARIO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 316-498-1394 |
Mailing Address - Street 1: | 4250 VETERANS HWY STE 155EAST |
Mailing Address - Street 2: | |
Mailing Address - City: | HOLBROOK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11741-4000 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 631-882-1232 |
Mailing Address - Fax: | 631-938-9641 |
Practice Address - Street 1: | 1700 N DIXIE HWY STE 115 |
Practice Address - Street 2: | |
Practice Address - City: | BOCA RATON |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33432-1807 |
Practice Address - Country: | US |
Practice Address - Phone: | 561-409-4197 |
Practice Address - Fax: | 561-409-3445 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-09-24 |
Last Update Date: | 2019-03-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Single Specialty |