Cardiac Imaging Services, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

CARDIAC IMAGING SERVICES, INC.

Practice address

34724 Caprock Rd
Agua Dulce, CA 91390-5422

Phone

(661) 268-0791

Fax

(661) 268-0792

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Doug Allen Gustafson, ARDMS, RVT, RDCSNPI 1760592984

Title

President, Owner

Phone

(661) 268-0791

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doug Allen Gustafson, ARDMS,RVT,RDCS

  • Physiological Laboratory
  • Agua Dulce, CA
  • NPI 1760592984
  NPD (past) Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1437323326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34724 CAPROCK RD",
            "city": "AGUA DULCE",
            "state": "CA",
            "postal_code": "913905422",
            "telephone_number": "661-268-0791",
            "fax_number": "661-268-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34724 CAPROCK RD",
            "city": "AGUA DULCE",
            "state": "CA",
            "postal_code": "913905422",
            "telephone_number": "661-268-0791",
            "fax_number": "661-268-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC IMAGING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "661-268-0791",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARDMS, RVT, RDCS"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nidhi Agrawal
• Agua Dulce New Beginnings
• Aim Recovery Centers
• Adrine Bazikyan, MS
• Judith Mary Dalton, R.D.
• Vivian Sheila Dungan
• Sophie Forbes-Johnson, MS
• Curtis Lee Garrick, D.C.
• Doug Allen Gustafson, ARDMS,RVT,RDCS

• Physiological Laboratory in Agua Dulce, CA
• Providers in Agua Dulce, CA by specialty
• Physiological Laboratory in California

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