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Organization

CARDIAC DIAGNOSITC SERVICES,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD P CIOCCA (PRESIDENT)
(216) 503-5100
Entity
Organization

Contact information

Practice address
4807 ROCKSIDE RD, SUITE 610, INDEPENDENCE, OH 44131-2192
(216) 503-5100
(216) 503-5099
Mailing address
4807 ROCKSIDE RD, SUITE 610, INDEPENDENCE, OH 44131-2192
(216) 503-5100
(216) 503-5099

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000537090
ANTHEM
OH
05
2784974
OH
Enumeration date
12/11/2006
Last updated
04/24/2008
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