NPI 1629586458

Cardiac Molecular Pet Imaging LLC

Organisation Physiological Laboratory San Jose, CA

Practice location

Address: 2030 Forest Ave STE 110, San Jose, CA 95128-4833
Phone: (702) 817-0375
Mailing address: 5944 Mahogany Mountain Dr, Las Vegas, NV 89142-1685

Authorised official

Name: James Ballow
Title: Vice President
Phone: (702) 817-0375

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence NV20161669909 (NV)

Other Physiological Laboratory providers in California →

Registry record

NPI: 1629586458
Entity type: Organization
NPI issued: 15 Jan 2018
Record last updated: 17 Dec 2021

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.