East Texas Cardiovascular Labs, Llc
LBN: East Texas Cardiovascular Labs, Llc
East Texas Cardiovascular Labs, Llc is an health care organization with primary practice located at 1303 N Mound St , Nacogdoches TX 75961-4030. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty.
East Texas Cardiovascular Labs, Llc can be contacted via phone (936) 560-1844, or through Guniganti, Prabhakar R via phone (936) 560-1844.
Contact Information
Primary practice address
1303 N Mound St
Nacogdoches TX 75961-4030
Phone: (936) 560-1844
Fax: (936) 715-9135
Website:
Authorized official contact:
Name: Guniganti, Prabhakar R Doctor of Medicine (MD)
Phone: (936) 560-1844
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | 008031 | Texas |
Profile Details
| NPI number | 1689693830 |
|---|---|
| LBN Legal business name | East Texas Cardiovascular Labs, Llc |
| DBA Doing business as | |
| Authorized official | Guniganti, Prabhakar R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Mar 12th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689693830 | NPPES |
| Texas | Other | HH1807 | BLUE CROSS PROVIDER # |
| Texas | MEDICAID | 034329502 | BLUE CROSS PROVIDER # |
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