NPIMap

Organization Active NPI

St. Elizabeth Cardiac Cath Lab, LLC

  • Cardiology Technician
  • Youngstown, OH
National Provider Identifier
1437300910
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiology TechnicianTaxonomy code 246W00000X
Legal business name
ST. ELIZABETH CARDIAC CATH LAB, LLC
Practice address
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone
(330) 480-3998
Fax
(330) 480-3498
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Ms. Kathleen A. Rizer, RN, BSN, MSOL
Title
Director
Phone
(330) 480-3797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiology TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246W00000X Primary

Addresses

Primary practice location

1044 Belmont Ave
Youngstown, OH 44504-1006

Mailing address

PO Box 537
Youngstown, OH 44501-0537
Phone (330) 480-3998

Other identifiers 1

IdentifierTypeStateIssuer
2459692MedicaidOH

Other names 1

  • The Heart Lab at St. Elizabeth's Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1437300910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445010537",
            "telephone_number": "330-480-3998",
            "fax_number": "330-480-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-480-3998",
            "fax_number": "330-480-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ELIZABETH CARDIAC CATH LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "RIZER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-480-3797",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, MSOL"
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2459692",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heart Lab at St. Elizabeth's",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

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