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Organization

CARDIAC DIAGNOSTIC CENTER LLC

Active
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Organization

CARDIAC DIAGNOSTIC CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAT LOPEZ (OFFICE MANAGER)
(314) 543-5270
Entity
Organization

Contact information

Practice address
10004 KENNERLY RD, SUITE 281B, SAINT LOUIS, MO 63128-2141
(314) 543-5270
(314) 543-5289
Mailing address
10004 KENNERLY RD, SUITE 281B, SAINT LOUIS, MO 63128-2141
(314) 543-5270
(314) 543-5289

Taxonomy

Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
4560
MO

Other

Enumeration date
12/13/2005
Last updated
08/13/2009
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