American Heart Scan, Incorporated

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

NA Issued in FL

Legal business name

AMERICAN HEART SCAN, INCORPORATED

Practice address

2210 Front St
Suite 104 B
Melbourne, FL 32901-7360

Phone

(321) 574-0673

Fax

(321) 725-7182

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Dale H. Dubois, R.N.

Title

President

Phone

(321) 574-0673

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1215109442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 FRONT ST.",
            "address_2": "SUITE 104 B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-574-0673",
            "fax_number": "321-725-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 FRONT ST",
            "address_2": "SUITE 104 B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017360",
            "telephone_number": "321-574-0673",
            "fax_number": "321-725-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEART SCAN, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-574-0673",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "FL",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John David Ammarell
• Viralkumar S Amrutiya, MD

• Physiological Laboratory in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.