Cardiovascular Imaging Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CARDIOVASCULAR IMAGING INC

Practice address

2955 Harrison St
Suite 105
Beaumont, TX 77702-1154

Phone

(409) 898-8007

Fax

(409) 898-8116

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dennis John Landry

Title

Registered Diagnostic Medical Sonog

Phone

(409) 898-8007

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801900519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 HARRISON ST",
            "address_2": "SUITE 105",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021154",
            "telephone_number": "409-898-8007",
            "fax_number": "409-898-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 HARRISON ST",
            "address_2": "SUITE 105",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021154",
            "telephone_number": "409-898-8007",
            "fax_number": "409-898-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "REGISTERED DIAGNOSTIC MEDICAL SONOG",
        "authorized_official_telephone_number": "409-898-8007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THIN",
            "identifier": "PL7029",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZFTCUV42",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.