Organization
CARDIODIAGNOSTICS OF COLORADO SPRINGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY K BEARDSLEE RDCS, RVT (PRESIDENT)
(719) 623-2201
Entity
Organization
Contact information
Practice address
5225 N ACADEMY BLVD, SUITE 206, COLORADO SPRINGS, CO 80918-4000
(719) 444-3777
(719) 444-3756
Mailing address
5225 N ACADEMY BLVD, SUITE 206, COLORADO SPRINGS, CO 80918-4000
(719) 444-3777
(719) 444-3756
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04301537
—
CO
01
—
30153
BLUE CROSS/BLUE SHIELD
CO
Enumeration date
09/13/2006
Last updated
05/26/2011
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