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Organization
BOSTON SCIENTIFIC CARDIAC DIAGNOSTIC SERVICES, LLC
Active
Organization
BOSTON SCIENTIFIC CARDIAC DIAGNOSTIC SERVICES, LLC
Active
Other names
Preventice Services LLC, eCardio Diagnostics, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY FIOLA (CHIEF EXECUTIVE OFFICER)
(651) 260-4411
Entity
Organization
Contact information
Practice address
1717 N SAM HOUSTON PKWY W STE 100, HOUSTON, TX 77038-1324
(281) 760-0500
(866) 747-4799
Mailing address
1717 N SAM HOUSTON PKWY W STE 100, HOUSTON, TX 77038-1324
(888) 400-3522
(866) 747-4799
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009999
BCBS PROVIDER NUMBER
TX
05
—
172529301
—
TX
01
—
7410317
MAMSI PROVIDER #
—
05
—
803138
—
CA
Enumeration date
06/01/2005
Last updated
09/23/2026
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