Organization
CARDIAC IMAGING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG ALLEN GUSTAFSON ARDMS, RVT, RDCS (PRESIDENT, OWNER)
(661) 268-0791
Entity
Organization
Contact information
Practice address
34724 CAPROCK RD, AGUA DULCE, CA 91390-5422
(661) 268-0791
(661) 268-0792
Mailing address
34724 CAPROCK RD, AGUA DULCE, CA 91390-5422
(661) 268-0791
(661) 268-0792
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
CA
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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