# CARDIOLABS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063482156
- **Authorized official:** JEREMY HAAG (CLINICAL OPERATIONS MANAGER)
- **Authorized official phone:** (800) 304-1098

## Contact information

- **Practice address:** 100 S MULBERRY ST STE 101, DICKSON, TN 37055-5023
- **Practice address phone:** (800) 304-1098
- **Mailing address:** 100 S MULBERRY ST STE 101, DICKSON, TN 37055-5023
- **Mailing address phone:** (800) 304-1098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 293D00000X | Physiological Laboratory | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2006
- **Last updated:** 05/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010157188 | — | VA |
| 01 | — | 01063104 | AMERIGROUP | TN |
| 01 | — | 043260 | FAMILY HEALTH PARTNERS | MO |
| 01 | — | 060A117 | HEALTHSPRING | TN |
| 01 | — | 127935 | SOUTHERN HEALTH | VA |
| 01 | — | 146796 | UNICARE OF KS | KS |
| 01 | — | 194843 | ANTHEM BCBS OF VA | VA |
| 05 | — | 200263800A | — | KS |
| 01 | — | 3010968 | BCBS OF TN | TN |
| 01 | — | 314335 | HIGHMARK BCBS OF PA | PA |
| 05 | — | 3791095 | — | TN |
| 05 | — | 718741408 | — | MO |
| 01 | — | 7817 | COVENTRY HEALTHCARE OF KS | MO |
| 01 | — | 98397 | OPTIMA SENTARA | VA |
| 01 | — | P00093878 | RAILROAD MEDICARE | — |