INTEGRATED CARDIOVASCULAR IMAGING PLLC


Address: 5 E 59th St, 6th Floor, New York, NY 10022-1027
Phone: 2127553023

INTEGRATED CARDIOVASCULAR IMAGING PLLC (NPI# 1083874911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083874911
Entity Type Organization
Organization Name INTEGRATED CARDIOVASCULAR IMAGING PLLC
Practice Address 5 E 59th St
6th Floor
New York
NY 10022-1027
Mailing Address 45 W 60th St
#31-h
New York
NY 10023-7940
Practice Telephone 2127553023
Enumeration Date 2008-06-13
Last Update Date 2008-06-13
Authorized Official Name ALAIN ALBERT FEDIDA (MEDICAL DIRECTOR)
Authorized Official Telephone 2127553023
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory 172083 NY Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
NY 01129006 05

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations INTEGRATED CARDIOVASCULAR IMAGING PLLC 5 Tudor Place Lobby 11, New York, Ny 100176853

Office Location

Street Address 5 E 59TH ST
6TH FLOOR
City NEW YORK
State NY
Zip Code 10022-1027

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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1912353038 Petmar Diagnostics LLC Physiological Laboratory 139 Centre St Ste 502, New York, NY 10013-4555 2016-05-07
1427424670 Nucore Diagnostics Inc Physiological Laboratory 280 Rector Pl, Suite 4d, New York, NY 10280-1137 2015-08-11
1679996953 Neurometric Evaluation Service Ny Ltd Physiological Laboratory 30 E 40th St, Ste 1100, New York, NY 10016-1201 2014-01-22

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1144798596 Heart Smart Inc. Physiological Laboratory 1160 E Jericho Tpke Ste 204, Huntington, NY 11743-5405 2018-11-04
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1700389616 Cardiac Monitoring Services, LLC Physiological Laboratory 232 West Main St, Mountor Falls, NY 14865 2018-03-16
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1578005500 Rhythm Management Solutions,llc Physiological Laboratory 179 South St Ste 100, Oyster Bay, NY 11771-2239 2016-11-08
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City NEW YORK
Zip Code 10022

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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