Cardio Diagnostic Systems, S.C.

Primary specialty

Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X

Legal business name

CARDIO DIAGNOSTIC SYSTEMS, S.C.

Practice address

10035 Lincoln TRL
Fairview Heights, IL 62208-1847

Phone

(618) 397-7300

Fax

(618) 397-7735

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Pankaj S Shah, MD

Title

President

Phone

(618) 397-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720158264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10035 LINCOLN TRL",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081847",
            "telephone_number": "618-397-7300",
            "fax_number": "618-397-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10035 LINCOLN TRL",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081847",
            "telephone_number": "618-397-7300",
            "fax_number": "618-397-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO DIAGNOSTIC SYSTEMS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-397-7300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054481",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison T Bustard, PHARM D
• Ebonie Monique Byrd
• Ca Group, LLC
• Alexis Camp, MA
• Cardio Diagnostic Systems, S.C.
• Caretenders Visiting Services of Southern Illinois, LLC
• Chester A Carothers Jr., L.C.S.W.
• Ciara Nicole Carter
• Madison L Castillo
• Center for Advanced Medicine LLC

• Cardiovascular Specialist/Technologist in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Cardiovascular Specialist/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.