# CARDIOSONIC IMAGING CORP.

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

## Provider details

- **NPI number:** 1447580246
- **Authorized official:** MR. OMID TAHMOURPOUR RCS (CARDIOVASCULAR SONOGRAPHER)
- **Authorized official phone:** (727) 505-4884

## Contact information

- **Practice address:** 7614 JACQUE ROAD, SUITE C, HUDSON, FL 34667
- **Practice address phone:** (727) 505-4884
- **Practice address fax:** (352) 610-4800
- **Mailing address:** P.O. BOX 10271, BROOKSVILLE, FL 34603
- **Mailing address phone:** (727) 505-4884
- **Mailing address fax:** (352) 610-4800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246W00000X | Cardiology Technician | 00068977 | FL | Yes |

## Other

- **Enumeration date:** 12/30/2009
- **Last updated:** 12/30/2009