Organization Active NPI

Circulation Testing Facility LLC

  • Vascular Specialist/Technologist Cardiovascular
  • El Paso, TX
National Provider Identifier
1902062789
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X
Legal business name
CIRCULATION TESTING FACILITY LLC
Practice address
10470 Vista del Sol Dr
Ste 109
El Paso, TX 79925-7948
Phone
(915) 629-0522
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Mr. Jorge Rodriguez, RVT, RVS
Title
Owner
Phone
(915) 820-4190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist CardiovascularGroup: 193400000X SINGLE SPECIALTY GROUP 246XC2903X Primary

Addresses

Primary practice location

10470 Vista del Sol Dr
Ste 109
El Paso, TX 79925-7948

Mailing address

530 Sierra St
El Paso, TX 79903-5216

Other identifiers 3

IdentifierTypeStateIssuer
38088OtherARDMS REGISTRY
00030011OtherCARDIOVASCULAR CREDENTIALING INTERNATIONAL REG. ID
088028801MedicaidTX

National Provider Directory

National Provider Directory

Locations

10470 Vista del Sol Dr
Ste 109
El Paso, TX 79925
Phone (915) 629-0522

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1902062789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SIERRA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799035216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 VISTA DEL SOL DR",
            "address_2": "STE 109",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257948",
            "telephone_number": "915-629-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCULATION TESTING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-820-4190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RVT, RVS"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARDMS REGISTRY",
            "identifier": "38088",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARDIOVASCULAR CREDENTIALING INTERNATIONAL REG. ID",
            "identifier": "00030011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088028801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.