Provider Demographics
NPI:1992515472
Name:HEART MEDICAL LLC
Entity type:Organization
Organization Name:HEART MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-814-9323
Mailing Address - Street 1:2225 FARADAY AVE STE F
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-7212
Mailing Address - Country:US
Mailing Address - Phone:760-814-9323
Mailing Address - Fax:760-814-9327
Practice Address - Street 1:2225 FARADAY AVE STE F
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7212
Practice Address - Country:US
Practice Address - Phone:760-814-9323
Practice Address - Fax:760-814-9327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier