Organization
MEDCATH PARTNERS, LLC
Active
Other names
Cardiac Imaging of NE Philadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY GUIDRY (CEO)
(704) 815-7804
Entity
Organization
Contact information
Practice address
8400 ROOSEVELT BLVD, SUITE 220, PHILADELPHIA, PA 19152-2012
(215) 331-1366
(215) 331-1006
Mailing address
10720 SIKES PL, SUITE 300, CHARLOTTE, NC 28277-8141
(704) 815-7789
(888) 401-6931
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001819
RR MEDICARE
PA
Enumeration date
04/18/2006
Last updated
08/07/2009
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