Sacred Heart Diagnostics Center, Incorporated

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

SACRED HEART DIAGNOSTICS CENTER, INCORPORATED

Practice address

4440 E Washington Ave
Ste 109
Las Vegas, NV 89110-5792

Phone

(702) 524-1186

Fax

(702) 341-0638

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Teresa C. Carandang

Title

President

Phone

(702) 524-1186

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366562571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 E WASHINGTON AVE",
            "address_2": "STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105792",
            "telephone_number": "702-524-1186",
            "fax_number": "702-341-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 E WASHINGTON AVE",
            "address_2": "STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105792",
            "telephone_number": "702-524-1186",
            "fax_number": "702-341-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART DIAGNOSTICS CENTER, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARANDANG",
        "authorized_official_first_name": "MARIA TERESA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-524-1186"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "265154",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily K Sackett, RBT
• Enoch Sackey, PHD
• Michelle Sackmann
• Alan Jeffrey Sacks, MD
• Andrea Marie Sacks, DDS
• Sacred Heart Homecare Services, Inc.
• Sacred Heart LLC (Sacred Heart Hospice Care)
• Sacred Heart Wellness Center PLLC
• Anton Sadallah
• Mahfoud Ramez Saddi

• Physiological Laboratory in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physiological Laboratory in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.