# PHYSICIANS CARDIOVASCULAR DIAGNOSTIC CENTER, L.L.P.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CARDIOVASCULAR DIAGNOSTIC CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245233501
- **Authorized official:** DR. THOMAS RANDOLPH LOMBARDO M.D. (MANAGING PARTNER)
- **Authorized official phone:** (409) 924-3996

## Contact information

- **Practice address:** 2955 HARRISON ST, STE 300, BEAUMONT, TX 77702-1157
- **Practice address phone:** (409) 924-3996
- **Practice address fax:** (409) 924-3916
- **Mailing address:** 2955 HARRISON ST, STE 300, BEAUMONT, TX 77702-1157
- **Mailing address phone:** (409) 924-3996
- **Mailing address fax:** (409) 924-3916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | R25618 | TX | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 01/27/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 155417201 | — | TX |
| 01 | — | 470001866 | MEDICARE RAILROAD PROVIDE | TX |
| 01 | — | HH1821 | BLUECROSS BLUESHIELD PROV | TX |