Provider Demographics
NPI:1992811723
Name:PACEMAKER MONITORING CENTER, INC.
Entity type:Organization
Organization Name:PACEMAKER MONITORING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:C
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-548-8200
Mailing Address - Street 1:1700 66TH ST N STE 304
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-5500
Mailing Address - Country:US
Mailing Address - Phone:727-548-8200
Mailing Address - Fax:727-548-5145
Practice Address - Street 1:1700 66TH ST N STE 304
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-5500
Practice Address - Country:US
Practice Address - Phone:727-548-8200
Practice Address - Fax:727-548-5145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE1850Medicare ID - Type UnspecifiedIDTF