Cardiovascular Diagnostic Image Inc

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

HCC6687 Issued in FL

Legal business name

CARDIOVASCULAR DIAGNOSTIC IMAGE INC

Practice address

7171 SW 24TH St
Suite 311
Miami, FL 33155-1692

Phone

(305) 480-2000

Fax

(305) 480-2003

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Edelio Mirabolo

Title

Owner

Phone

(305) 480-2000

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1861535536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 SW 24TH ST",
            "address_2": "SUITE 311",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551692",
            "telephone_number": "305-480-2000",
            "fax_number": "305-480-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 SW 24TH ST",
            "address_2": "SUITE 311",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551692",
            "telephone_number": "305-480-2000",
            "fax_number": "305-480-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR DIAGNOSTIC IMAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "MIRABOLO",
        "authorized_official_first_name": "EDELIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-480-2000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC6687",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC10640",
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "FL",
            "license": "HCC6687",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "FL",
            "license": "HCC10640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261881800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiology Associates of Ami Kendall Inc
• Cardiology Healthcare of South Florida Corp
• Cardiology Management Resources, LLC
• Cardiology Services PA
• Cardiovascular Center of Miami LLC
• Cardiovascular Diagnostic Imaging
• Cardiovascular Health Institute
• Cardiovascular Interventions of Miami PA
• Cardiovascular Interventions of Miami, LLC
• Cardiovascular Medicine Associates PA

• Mammography Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Mammography Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.