Organization
CARDIOVASCULAR IMAGING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D. DELAPA BA, RVT, RT (OWNER)
(740) 894-7155
Entity
Organization
Contact information
Practice address
189 COUNTY ROAD 276, SOUTH POINT, OH 45680-8912
(740) 894-7155
(740) 894-3390
Mailing address
189 COUNTY ROAD 276, SOUTH POINT, OH 45680-8912
(740) 894-7155
(740) 894-3390
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
056667
WV
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
1289432
OH
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
720255
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2273712
—
OH
05
—
6801014-000
—
WV
05
—
86000403
—
KY
Enumeration date
06/13/2005
Last updated
12/17/2007
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