Organization Active NPI

Cardiovascular Imaging Services, Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • South Point, OH
National Provider Identifier
1629663380
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
CARDIOVASCULAR IMAGING SERVICES, INC.
Practice address
189 County Road 276
South Point, OH 45680-8912
Phone
(740) 894-7155
Fax
(740) 894-3390
NPI assigned
Mar 4, 2021
Last updated
Oct 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
John David DelapaNPI 1548365695
Title
Owner
Phone
(740) 894-7155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

189 County Road 276
South Point, OH 45680-8912

Mailing address

189 County Road 276
South Point, OH 45680-8912
Phone (740) 894-7155

Other practice location 1

300 Saint Christopher Dr
Ashland, KY 41101-7020
Phone (606) 371-1100

Other identifiers 1

IdentifierTypeStateIssuer
8600040300MedicaidKY

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL computer
Other URL computer
Other URL computer

National Provider Directory

National Provider Directory
Tax ID family
Cardiovascular Imaging3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

189 County Road 276
South Point, OH 45680
Phone 74088947155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1629663380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 COUNTY ROAD 276",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808912",
            "telephone_number": "740-894-7155",
            "fax_number": "740-894-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 COUNTY ROAD 276",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808912",
            "telephone_number": "740-894-7155",
            "fax_number": "740-894-3390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Saint Christopher Dr",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017020",
            "country_code": "US",
            "telephone_number": "606-371-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOVASCULAR IMAGING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-10-11",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "DELAPA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-894-7155"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8600040300",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "189 County Road 276",
            "city": "South Point",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456808912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "189 County Road 276",
            "city": "South Point",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456808912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "189 County Road 276",
            "city": "South Point",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456808912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Point, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.