NPIMap

Organization Active NPI

Digital Cardiac Imaging,LLC

  • Physiological Laboratory
  • Tustin, CA
National Provider Identifier
1083825368
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
TG325 Issued in CA
Legal business name
DIGITAL CARDIAC IMAGING,LLC
Practice address
14471 Chambers Rd
Suite 103
Tustin, CA 92780-6965
Phone
(714) 318-7844
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ed Klinicki
Title
Owner
Phone
(714) 318-7844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X TG325 CA Primary

Addresses

Primary practice location

14471 Chambers Rd
Suite 103
Tustin, CA 92780-6965

Mailing address

14471 Chambers Rd
Suite 103
Tustin, CA 92780-6965
Phone (714) 318-7844

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1083825368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14471 CHAMBERS RD",
            "address_2": "SUITE 103",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806965",
            "telephone_number": "714-318-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14471 CHAMBERS RD",
            "address_2": "SUITE 103",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806965",
            "telephone_number": "714-318-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITAL CARDIAC IMAGING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "KLINICKI",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-318-7844"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": "TG325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.