Cardiac Diagnostic Clinic, LTD

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

23216 Issued in WI

Legal business name

CARDIAC DIAGNOSTIC CLINIC, LTD

Practice address

2500 W Layton Ave
Milwaukee, WI 53221-5420

Phone

(262) 251-8447

Fax

(262) 251-5193

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Marilyn Ann Marchese

Title

Practice Manager

Phone

(262) 251-8447

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1770760480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210918",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532218016",
            "telephone_number": "262-251-8447",
            "fax_number": "262-251-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215420",
            "telephone_number": "262-251-8447",
            "fax_number": "262-251-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC DIAGNOSTIC CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "MARCHESE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "262-251-8447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "23216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30359100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Carbajal, H.I.S.
• Richard E Carballo, M.D.
• Sarah Carballo, MD
• Cassie Rose Carbon-Ellington, M.S., CCC-SLP
• Matthew Michael Carbonelli, PHD
• Cardiac Evaluation Services Inc
• Cardiac Rhythm Specialists
• Cardiac Rhythm Specialists SC
• Cardiographics Physicians St. Mary'S Milwaukee, LTD.
• Cardiothoracic Surgery Group SC

• Health Service Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Health Service Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.