# HEART2HEART CONCIERGE CARDIOVASCULAR DIAGNOSTIC SERVICES LLC

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

## Provider details

- **NPI number:** 1215556089
- **Authorized official:** JASON ANTWAUN ACCILIEN RCS-CCT\# 00068873 (CARDIOVASCULAR SONOGRAPHER)
- **Authorized official phone:** (540) 441-4259

## Contact information

- **Practice address:** 120 E 3RD ST APT 1678, FRONT ROYAL, VA 22630-4434
- **Practice address phone:** (540) 441-4259
- **Mailing address:** PO BOX 1678, FRONT ROYAL, VA 22630-0036
- **Mailing address phone:** (540) 441-4259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156F00000X | Technician/Technologist | — | NULL | Yes |
| 156F00000X | Technician/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2020
- **Last updated:** 04/14/2020