Organization Active NPI

CDG Cardiac Profiles, LLC

  • Cardiology Technician
  • McKinney, TX
National Provider Identifier
1417065046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiology TechnicianTaxonomy code 246W00000X
Legal business name
CDG CARDIAC PROFILES, LLC
Practice address
2570 Eldorado Pkwy
Suite 100
McKinney, TX 75070-4365
Phone
(972) 542-5122
Fax
(469) 742-0113
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Linda J Stacie
Title
President
Phone
(972) 542-5122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiology TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246W00000X Primary

Addresses

Primary practice location

2570 Eldorado Pkwy
Suite 100
McKinney, TX 75070-4365

Mailing address

3001 Hardin Blvd PMB #210
Suite 110
McKinney, TX 75070-7489
Phone (972) 542-5122

National Provider Directory

National Provider Directory

Locations

3001 S Hardin Blvd
Ste 110
McKinney, TX 75070
Phone (443) 315-3611

2570 Eldorado Pkwy
Ste 100
McKinney, TX 75070
Phone (972) 542-5122

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417065046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HARDIN BLVD PMB #210",
            "address_2": "SUITE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707489",
            "telephone_number": "972-542-5122",
            "fax_number": "469-742-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 ELDORADO PKWY",
            "address_2": "SUITE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704365",
            "telephone_number": "972-542-5122",
            "fax_number": "469-742-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDG CARDIAC PROFILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STACIE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-542-5122",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • 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.