Cardiac Cath Lab of Mid Cities, LP
Organization Active NPI Multi-Specialty Clinic/Center · Bedford, TX
NPI 1811344302 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1811344302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- CARDIAC CATH LAB OF MID CITIES, LP
- Practice address
- 1305 Airport Fwy Ste 121
Bedford, TX 76021-6603 - Phone
- (682) 305-1112
- Fax
- (682) 305-1121
- NPI assigned
- May 16, 2016
- Organization subpart
- No
Authorized official
- Name
- Kelly Marie Bemis
- Title
- Authorized Official
- Phone
- (858) 504-5667
Member organizations 1
Practitioners 21
-
Ali L Moustapha, MD
-
Iyad Rashdan, MD
-
Alisa Thamwiwat, M.D.
-
Rajjit Abrol, MD
-
Mohammad Alasaad, M.D.
-
Karthik Subramanian Anand, M.D.,
-
Obadah Aqtash, MD
-
Pauldeep Bahra, M.D.
-
Michael D Eifling, M.D.
-
Usman Bin Hashmi, MD
-
Stuart R Lander, MD
-
Andrew H Miller, MD
-
Aref Obagi, M.D.
-
Brijesh Manubhai Patel, M.D.
-
Mark P Teng, MD
-
Hirak J Sen, MD
-
Brittney Heard, M.D.
-
Robert Everette Ficula, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2118779 | Cardiac Cath Lab of Mid Cities, LP | Accreditation | Sep 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161005000562 | TX | Part B Supplier - Clinic/Group Practice | 2961798368 |
Receives reassigned benefits from 20 practitioners Practice locations: Bedford, TX |
National Provider Directory
Locations
1305 Airport Fwy
Ste 121
Bedford, TX 76021
Phone (682) 305-1112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
1305 Airport Fwy Ste 121
Bedford, TX 76021-6603
Mailing address
Dept# 3028
PO Box 4417
Houston, TX 77210-4417
Phone (610) 644-8900
Other providers in Bedford, TX
- A. Barbara Byers
- Kavitha Bysani
- Sherry Kay Cabaniss
- Calista Group Inc.
- Kaeli Evelyn Cantwell
- Cardiovascular & Thoracic Specialty Group, P.a.
- Caredirectdme
- Jennifer Lynn Carlson
- Connie Jeanette Carlstrom
- Carolina Consulting & Planning Agency
All providers in Bedford, TX · Multi-Specialty Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.