CARDIAC IMAGING CENTER, PLLC. (NPI# 1093991564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093991564 |
| Entity Type | Organization |
| Organization Name | CARDIAC IMAGING CENTER, PLLC. |
| Practice Address |
331 Laidley St Suite 402 Charleston WV 25301-1619 |
| Practice Telephone | 3044190395 |
| Mailing Telephone | 3044190395 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |
| Authorized Official Name | DR. BASSAM MOUSHMOUSH (OWNER) |
| Authorized Official Telephone | 3044190395 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | 01010/4730849-01 | WV | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0073986000 | 05 |
| Street Address |
331 LAIDLEY ST SUITE 402 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800758 | Retina Consultants, Pllc | Ophthalmology | 331 Laidley St, Ste 301, Charleston, WV 25301-1605 | 2005-06-09 |
| 1861767725 | Becky Darlene Rider | Nurse Practitioner | 331 Laidley St, Charleston, WV 25301-1619 | 2012-03-12 |
| 1457620569 | Jonna Jean Wilson | Social Worker | 331 Laidley St, Suite 504, Charleston, WV 25301-1619 | 2011-12-19 |
| 1457662579 | Mountaineer Surgical Associates Pllc | Surgery | 331 Laidley St, Suite 201, Charleston, WV 25301-1619 | 2010-06-23 |
| 1972833267 | Addison Kidney Consulting Pllc | Internal Medicine | 331 Laidley St, Suite 307, Charleston, WV 25301-1619 | 2010-01-08 |
| 1982933024 | Frank J Trupo Md Pllc | Plastic Surgery | 331 Laidley St, Ste 510, Charleston, WV 25301-1619 | 2009-12-21 |
| 1538391065 | Anas Adel Alsaleh | Internal Medicine | 331 Laidley St, Suite 208, Charleston, WV 25301-1619 | 2009-08-18 |
| 1871722942 | Nariman A Halabi | Internal Medicine | 331 Laidley St, Suite208, Charleston, WV 25301-1619 | 2009-07-09 |
| 1255578076 | Anthony P. Dasaro, Md, Pllc | Internal Medicine | 331 Laidley St, Suite 307, Charleston, WV 25301-1619 | 2009-01-15 |
| 1295989119 | Kristen D Shamblin | Nurse Practitioner | 331 Laidley St, Charleston, WV 25301-1619 | 2008-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164400420 | Laboratory Corporation of America Holdings | Physiological Laboratory | 501 Locust Ave, Fairmont, WV 26554-4719 | 2006-01-06 |
| City | CHARLESTON |
| Zip Code | 25301 |
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| 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.