Organization
NATIONWIDE CARDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN SLACK IDTF (OWNER)
(951) 776-7314
Entity
Organization
Contact information
Practice address
16400 LOIS LN, RIVERSIDE, CA 92504-5724
(951) 776-7314
(855) 399-5796
Mailing address
16400 LOIS LN, RIVERSIDE, CA 92504-5724
(888) 252-9700
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
00050469
CA
Other
Enumeration date
09/02/2006
Last updated
09/13/2013
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