# CARDIAC DIAGNOSTIC CENTER LLC

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

## Provider details

- **NPI number:** 1699750695
- **Authorized official:** MS. CAT LOPEZ (OFFICE MANAGER)
- **Authorized official phone:** (314) 543-5270

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207UN0902X | Nuclear Imaging & Therapy Physician | 4560 | MO | Yes |

## Other

- **Enumeration date:** 12/13/2005
- **Last updated:** 08/13/2009