Organization
CARDIOLABS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY HAAG (CLINICAL OPERATIONS MANAGER)
(800) 304-1098
Entity
Organization
Contact information
Practice address
100 S MULBERRY ST STE 101, DICKSON, TN 37055-5023
(800) 304-1098
Mailing address
100 S MULBERRY ST STE 101, DICKSON, TN 37055-5023
(800) 304-1098
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010157188
—
VA
01
—
01063104
AMERIGROUP
TN
01
—
043260
FAMILY HEALTH PARTNERS
MO
01
—
060A117
HEALTHSPRING
TN
01
—
127935
SOUTHERN HEALTH
VA
01
—
146796
UNICARE OF KS
KS
01
—
194843
ANTHEM BCBS OF VA
VA
05
—
200263800A
—
KS
01
—
3010968
BCBS OF TN
TN
01
—
314335
HIGHMARK BCBS OF PA
PA
05
—
3791095
—
TN
05
—
718741408
—
MO
01
—
7817
COVENTRY HEALTHCARE OF KS
MO
01
—
98397
OPTIMA SENTARA
VA
01
—
P00093878
RAILROAD MEDICARE
—
Enumeration date
01/23/2006
Last updated
05/29/2025
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