Organization
ADVANCED CARDIOLOGY DIAGNOSTIC CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM BOEHLE (PRESIDENT)
(602) 424-1868
Entity
Organization
Contact information
Practice address
2401 W GLENDALE AVE, SUITE 208, PHOENIX, AZ 85021-7677
(602) 424-1868
(602) 424-1874
Mailing address
6036 N 19TH AVE, SUITE 405, PHOENIX, AZ 85015-2106
(602) 424-4450
(602) 424-4451
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32892
AZ
207RI0011X
Interventional Cardiology Physician
32892
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497237
—
AZ
Enumeration date
11/05/2008
Last updated
05/04/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us