MEDICARE: CARDIOVASCULAR IMAGING SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588532360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOVASCULAR IMAGING SERVICES INC

Provider Business Mailing Address
First Line	:	189 COUNTY RD 276
Second Line	:
City	:	SOUTH POINT
State	:	OH
Zip	:	45680-8912
Country	:	US
Telephone Number	:	740-894-7155
Fax Number	:	740-894-3390

Provider Business Practice Location Address
First Line	:	189 COUNTY RD 276
Second Line	:
City	:	SOUTH POINT
State	:	OH
Zip	:	45680-8912
Country	:	US
Telephone Number	:	740-894-7155
Fax Number	:	740-894-3390

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN DELAPA
Credential	:
Telephone Number	:	740-894-7155

Provider Enumeration Date	:	10/24/2025
Last Update Date	:	10/24/2025

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Directions to “CARDIOVASCULAR IMAGING SERVICES INC ” Practice Location

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