Organization
CARDIO VASCULAR IMAGING SERVICES INC
Active
Organization
CARDIO VASCULAR IMAGING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS FAIREY RVT RCS BS (OWNER)
(530) 247-1880
Entity
Organization
Contact information
Practice address
1850 ROSALINE AVE, REDDING, CA 96001
(530) 247-1880
(530) 248-3340
Mailing address
PO BOX 492526, REDDING, CA 96049
(530) 247-1880
(530) 248-3340
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ15665Z
MEDICARE- UNSPECIFIED
CA
Enumeration date
04/06/2007
Last updated
03/24/2010
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