Healthcare Provider Details
I. General information
NPI: 1710033014
Provider Name (Legal Business Name): HEART TECHNOLOGIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8010 W SAHARA AVE STE 235
LAS VEGAS NV
89117-7911
US
IV. Provider business mailing address
PO BOX 370447
LAS VEGAS NV
89137-0447
US
V. Phone/Fax
- Phone: 702-303-3523
- Fax:
- Phone: 702-303-3523
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0208X |
| Taxonomy | Mobile Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELVA
VIENO
Title or Position: PRESIDENT
Credential:
Phone: 702-303-3523