Provider Demographics
| NPI: | 1144704339 |
|---|---|
| Name: | CARDIAC MONITORING SOLUTIONS LLC |
| Entity type: | Organization |
| Organization Name: | CARDIAC MONITORING SOLUTIONS LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | ADMINISTRATOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SHEA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ROSARIO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 316-498-1394 |
| Mailing Address - Street 1: | 4250 VETERANS HWY STE 155EAST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HOLBROOK |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 11741-4000 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 631-882-1232 |
| Mailing Address - Fax: | 631-938-9641 |
| Practice Address - Street 1: | 1700 N DIXIE HWY STE 115 |
| Practice Address - Street 2: | |
| Practice Address - City: | BOCA RATON |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33432-1807 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 561-409-4197 |
| Practice Address - Fax: | 561-409-3445 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2018-09-24 |
| Last Update Date: | 2019-03-04 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Single Specialty |