NPI 1093991564

Cardiac Imaging Center, PLLC.

Organisation Physiological Laboratory Charleston, WV

Practice location

Address: 331 Laidley St Suite 402, Charleston, WV 25301-1619
Phone: (304) 419-0395

Authorised official

Name: Bassam Moushmoush
Title: Owner
Phone: (304) 419-0395

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence 01010/4730849-01 (WV)

Other Physiological Laboratory providers in West Virginia →

Registry record

NPI: 1093991564
Entity type: Organization
NPI issued: 15 Jan 2008
Record last updated: 15 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.