Organization
CARDIOVASCULAR DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD B LUNDY MBA (CHAIRMAN)
(336) 832-7951
Entity
Organization
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1020
(336) 832-2771
(336) 832-8844
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-2771
(336) 832-8844
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001GJ
BCBS
NC
01
—
2130485
MAMSI
NC
Enumeration date
06/29/2006
Last updated
02/29/2012
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