Healthcare Provider Details

I. General information

NPI: 1902935935
Provider Name (Legal Business Name): NATIONAL CARDIO LABS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17752 SKY PARK CIR SUITE 270
IRVINE CA
92614-6419
US

IV. Provider business mailing address

PO BOX 5460
STATELINE NV
89449-5460
US

V. Phone/Fax

Practice location:
  • Phone: 800-546-7928
  • Fax: 714-550-7132
Mailing address:
  • Phone: 800-546-7928
  • Fax: 714-550-7132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246W00000X
TaxonomyCardiology Technician
License Number26897
License Number StateNV

VIII. Authorized Official

Name: ROBERT PARSONS
Title or Position: OWNER, MEMBER
Credential:
Phone: 800-546-7928