Healthcare Provider Details
I. General information
NPI: 1306876271
Provider Name (Legal Business Name): CARDIOTEL DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 TALL OAKS CIR
TEQUESTA FL
33469-2713
US
IV. Provider business mailing address
10 TALL OAKS CIR
TEQUESTA FL
33469-2713
US
V. Phone/Fax
- Phone: 561-748-7540
- Fax: 561-748-7592
- Phone: 561-748-7540
- Fax: 561-748-7592
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CALVIN
D
TURNQUEST
Title or Position: PRESIDENT
Credential:
Phone: 561-748-7540