MEDICARE: CARDIODIAGNOSTICS OF COLORADO SPRINGS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	293D00000X	Physiological Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30153	OTHER	CO	BLUE CROSS/BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750486924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIODIAGNOSTICS OF COLORADO SPRINGS, INC.

Provider Business Mailing Address
First Line	:	5225 N ACADEMY BLVD
Second Line	:	SUITE 206
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-4000
Country	:	US
Telephone Number	:	719-444-3777
Fax Number	:	719-444-3756

Provider Business Practice Location Address
First Line	:	5225 N ACADEMY BLVD
Second Line	:	SUITE 206
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-4000
Country	:	US
Telephone Number	:	719-444-3777
Fax Number	:	719-444-3756

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BRADLEY K BEARDSLEE
Credential	:	RDCS, RVT
Telephone Number	:	719-623-2201

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	05/26/2011

Similar Medicare Providers

1689711046 — LUXOTTICA OF AMERICA INC
Practice Location Address:

4000 LUXOTTICA PL , ATTN MEDICARE DEPT
MASON, OH
45040-8114

Practice Phone: 513-765-3534
Practice Fax:

1205389764 — LUXOTTICA RETAIL NORTH AMERICA INC
Practice Location Address:

4000 LUXOTTICA PL , ATTN: MEDICARE DEPT
MASON, OH
45040-8114

Practice Phone: 513-765-6000
Practice Fax:

1538603709 — LUXOTTICA RETAIL NORTH AMERICA INC.
Practice Location Address:

4000 LUXOTTICA PL , ATTN: MEDICARE DEPARTMENT
MASON, OH
45040-8114

Practice Phone: 513-765-6623
Practice Fax:

1588537211 — RITA ANN A SAMMIS
Practice Location Address:

5225 N ACADEMY BLVD
COLORADO SPRINGS, CO
80918-4000

Practice Phone: 719-644-6463
Practice Fax:

1053955500 — JENNIE STORMES MSN APN RXN PMHNP-BC
Practice Location Address:

5225 N ACADEMY BLVD # 305
COLORADO SPRINGS, CO
80918-4000

Practice Phone: 719-644-6463
Practice Fax: 844-579-0123

1285247486 — MASTERMIND CLINIC PLLC
Practice Location Address:

5225 N ACADEMY BLVD # 305
COLORADO SPRINGS, CO
80918-4000

Practice Phone: 719-644-6463
Practice Fax: 844-579-0123

Directions to “CARDIODIAGNOSTICS OF COLORADO SPRINGS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.