# CARDIODIAGNOSTICS OF COLORADO SPRINGS, INC.

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

## Provider details

- **NPI number:** 1750486924
- **Authorized official:** MR. BRADLEY K BEARDSLEE RDCS, RVT (PRESIDENT)
- **Authorized official phone:** (719) 623-2201

## Contact information

- **Practice address:** 5225 N ACADEMY BLVD, SUITE 206, COLORADO SPRINGS, CO 80918-4000
- **Practice address phone:** (719) 444-3777
- **Practice address fax:** (719) 444-3756
- **Mailing address:** 5225 N ACADEMY BLVD, SUITE 206, COLORADO SPRINGS, CO 80918-4000
- **Mailing address phone:** (719) 444-3777
- **Mailing address fax:** (719) 444-3756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 05/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04301537 | — | CO |
| 01 | — | 30153 | BLUE CROSS/BLUE SHIELD | CO |
