Provider Demographics
NPI:1942289038
Name:2D CARDIAC IMAGING, INC.
Entity type:Organization
Organization Name:2D CARDIAC IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUVAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-791-3116
Mailing Address - Street 1:3170 CHRISTY WAY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2256
Mailing Address - Country:US
Mailing Address - Phone:989-791-3116
Mailing Address - Fax:989-791-3120
Practice Address - Street 1:3170 CHRISTY WAY
Practice Address - Street 2:SUITE 2
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2256
Practice Address - Country:US
Practice Address - Phone:989-791-3116
Practice Address - Fax:989-791-3120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI71020000G31503OtherBLUE CROSS BLUE SHIELD
MI0M75460Medicare ID - Type Unspecified