Organization Active NPI

Cardiovascular Imaging Services, Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • South Point, OH
National Provider Identifier
1952305476
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
1289432 Issued in OH
Legal business name
CARDIOVASCULAR IMAGING SERVICES, INC.
Practice address
189 County Road 276
South Point, OH 45680-8912
Phone
(740) 894-7155
Fax
(740) 894-3390
NPI assigned
Jun 13, 2005
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Mr. John D. Delapa, BA, RVT, RTNPI 1548365695
Title
Owner
Phone
(740) 894-7155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 056667 WV
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 720255 KY
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 1289432 OH Primary

Addresses

Primary practice location

189 County Road 276
South Point, OH 45680-8912

Mailing address

189 County Road 276
South Point, OH 45680-8912
Phone (740) 894-7155

Other identifiers 3

IdentifierTypeStateIssuer
86000403MedicaidKY
2273712MedicaidOH
6801014-000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040330001406 KY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2365330081 Practice locations: Ashland, KY
O20040623001200 OH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2365330081 Practice locations: South Point, OH

National Provider Directory

National Provider Directory

Locations

300 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 371-1100

6572 Midland Trail Rd
Ashland, KY 41102
Phone (606) 928-1881

100 Sterling Way
Ste 1
Mt Sterling, KY 40353
Phone (859) 498-0200

189 County Road 276
South Point, OH 45680
Phone 74088947155

335 Township Road 1026
South Point, OH 45680
Phone (740) 744-4055

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1952305476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 COUNTY ROAD 276",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808912",
            "telephone_number": "740-894-7155",
            "fax_number": "740-894-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 COUNTY ROAD 276",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456808912",
            "telephone_number": "740-894-7155",
            "fax_number": "740-894-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR IMAGING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "DELAPA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-894-7155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA, RVT, RT"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "WV",
            "license": "056667",
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "KY",
            "license": "720255",
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "OH",
            "license": "1289432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86000403",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2273712",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6801014-000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Point, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.