Healthcare Provider Details

I. General information

NPI: 1639123250
Provider Name (Legal Business Name): CARDIODYNAMICS ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

863 W AURORA RD
SAGAMORE HILLS OH
44067-1603
US

IV. Provider business mailing address

PO BOX 26010
AKRON OH
44319-6010
US

V. Phone/Fax

Practice location:
  • Phone: 888-328-4581
  • Fax:
Mailing address:
  • Phone: 888-328-4581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: APRIL JONES
Title or Position: CLIENT REPRESENTATIVE
Credential:
Phone: 330-493-9004