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
Update your record
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