Organization
PROVIDENCE CARDIOVASCULAR LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE B BITTAR M.D. (OWNER)
(812) 232-8164
Entity
Organization
Contact information
Practice address
2723 S 7TH ST STE A, TERRE HAUTE, IN 47802-3558
(812) 232-8164
(812) 242-1565
Mailing address
2723 S 7TH ST STE A, TERRE HAUTE, IN 47802-3558
(812) 232-8164
(812) 242-1565
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IN
Other
Enumeration date
06/17/2010
Last updated
12/08/2014
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