Organization
ST. ELIZABETH CARDIAC CATH LAB, LLC
Active
Other names
The Heart Lab at St. Elizabeth's
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN A. RIZER RN, BSN (DIRECTOR)
(330) 480-3998
Entity
Organization
Contact information
Practice address
1044 BELMONT AVE, 1 WEST HEART AND VASCULAR BUILDING, YOUNGSTOWN, OH 44504-1006
(330) 480-3998
(330) 480-3498
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3998
(330) 480-3498
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
Primary
1049IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330542
ANTHEM
OH
01
—
1186124
CIGNA
OH
05
—
2459692
—
OH
01
—
25224
QUALCHOICE
OH
Enumeration date
06/19/2006
Last updated
08/22/2020
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