Organization Active NPI

Cardiovascular Imaging

  • Cardiovascular Specialist/Technologist
  • Hokes Bluff, AL
National Provider Identifier
1154596690
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
Legal business name
CARDIOVASCULAR IMAGING
Practice address
5606 2ND St
Hokes Bluff, AL 35903
Phone
(225) 667-0380
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mr. Kenneth Jude Brown
Title
Owner Vascular Technologist
Phone
(225) 667-0380

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiology TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246W00000X
Cardiovascular Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246X00000X Primary
Vascular Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XC2903X

Addresses

Primary practice location

5606 2ND St
Hokes Bluff, AL 35903

Mailing address

5606 2ND St
Hokes Bluff, AL 35903
Phone (225) 667-0380

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1154596690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 2ND ST",
            "city": "HOKES BLUFF",
            "state": "AL",
            "postal_code": "35903",
            "telephone_number": "225-667-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 2ND ST",
            "city": "HOKES BLUFF",
            "state": "AL",
            "postal_code": "35903",
            "telephone_number": "225-667-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JUDE",
        "authorized_official_title_or_position": "OWNER VASCULAR TECHNOLOGIST",
        "authorized_official_telephone_number": "225-667-0380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hokes Bluff, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.