Healthcare Provider Details

I. General information

NPI: 1669618492
Provider Name (Legal Business Name): HEARTSCAN PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2008
Last Update Date: 12/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 PENNSYLVANIA AVE NW SUITE LL150
WASHINGTON DC
20037-1730
US

IV. Provider business mailing address

2401 PENNSYLVANIA AVE NW SUITE LL150
WASHINGTON DC
20037-1730
US

V. Phone/Fax

Practice location:
  • Phone: 202-467-0929
  • Fax: 202-467-0936
Mailing address:
  • Phone: 202-467-0929
  • Fax: 202-467-0936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES EHRLICH
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 303-808-6470