Provider Demographics
NPI:1154439032
Name:ALPINE CARDIOVASCULAR IMAGING, L.L.C.
Entity type:Organization
Organization Name:ALPINE CARDIOVASCULAR IMAGING, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PITMAN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:806-252-1928
Mailing Address - Street 1:PO BOX 16704
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79490-6704
Mailing Address - Country:US
Mailing Address - Phone:806-788-1180
Mailing Address - Fax:806-788-1190
Practice Address - Street 1:1510 SCURRY ST
Practice Address - Street 2:SUITE C
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-4441
Practice Address - Country:US
Practice Address - Phone:877-688-1180
Practice Address - Fax:806-788-1190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTVUCSMedicare PIN