Organization
CARDIUM DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WINEBRENER (CEO)
(985) 351-4776
Entity
Organization
Contact information
Practice address
5 WINDWARD CT, MANDEVILLE, LA 70471-7455
(985) 351-4776
Mailing address
5 WINDWARD CT, MANDEVILLE, LA 70471-7455
(985) 351-4776
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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