Provider Demographics
NPI:1699336792
Name:CARDIAC RMS INC
Entity type:Organization
Organization Name:CARDIAC RMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GLAIM
Authorized Official - Suffix:
Authorized Official - Credentials:BSEE
Authorized Official - Phone:518-424-9516
Mailing Address - Street 1:12 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-6302
Mailing Address - Country:US
Mailing Address - Phone:518-424-9516
Mailing Address - Fax:
Practice Address - Street 1:360 BLOOMFIELD AVE FL 3
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-2700
Practice Address - Country:US
Practice Address - Phone:518-424-9516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service