Provider Demographics
NPI:1962720839
Name:HEART CHECK WASHINGTON DC LLC
Entity type:Organization
Organization Name:HEART CHECK WASHINGTON DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-489-6305
Mailing Address - Street 1:2401 PENNSYLVANIA AVENE NW
Mailing Address - Street 2:SUITE LL-150
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037
Mailing Address - Country:US
Mailing Address - Phone:202-467-0929
Mailing Address - Fax:202-467-0936
Practice Address - Street 1:2401 PENNSYLVANIA AVE NW STE LL-150
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1730
Practice Address - Country:US
Practice Address - Phone:202-467-0929
Practice Address - Fax:202-467-0936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD035872261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center