MEDICARE: RHYTHM EXPRESS IDTF LLC

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	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1750757415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHYTHM EXPRESS IDTF LLC

Provider Business Mailing Address
First Line	:	1265 GREY FOX RD STE 400
Second Line	:
City	:	ARDEN HILLS
State	:	MN
Zip	:	55112-6935
Country	:	US
Telephone Number	:	651-661-7797
Fax Number	:

Provider Business Practice Location Address
First Line	:	740 E CAMPBELL RD STE 530
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75081-6756
Country	:	US
Telephone Number	:	866-324-8783
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	BRIAN BROCKWAY
Credential	:
Telephone Number	:	651-661-7797

Provider Enumeration Date	:	08/18/2015
Last Update Date	:	04/16/2026

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