{"npi":"1952305476","type":"NPI-2","status":"active","name":{"display":"Cardiovascular Imaging Services, Inc.","other":[],"organization_name":"CARDIOVASCULAR IMAGING SERVICES, INC.","authorised_official":"John Delapa"},"specialty":{"primary_taxonomy":"335V00000X","primary_taxonomy_description":"Portable X-ray and/or Other Portable Diagnostic Imaging Supplier","slug":"portable-x-ray-and-or-other-portable-diagnostic-imaging-supplier","schema_org_specialty":null,"all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":null,"license":null},{"code":"335V00000X","description":"Portable X-ray and/or Other Portable Diagnostic Imaging Supplier","primary":false,"state":"WV","license":"056667"},{"code":"335V00000X","description":"Portable X-ray and/or Other Portable Diagnostic Imaging Supplier","primary":false,"state":"KY","license":"720255"},{"code":"335V00000X","description":"Portable X-ray and/or Other Portable Diagnostic Imaging Supplier","primary":true,"state":"OH","license":"1289432"}]},"addresses":[{"purpose":"LOCATION","street_1":"189 COUNTY ROAD 276","city":"SOUTH POINT","state":"OH","postal_code":"456808912","country_code":"US","phone":"7408947155","fax":"7408943390"},{"purpose":"MAILING","street_1":"189 COUNTY ROAD 276","city":"SOUTH POINT","state":"OH","postal_code":"456808912","country_code":"US","phone":"7408947155","fax":"7408943390"}],"license":{"state":"OH","number":"1289432"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"6801014-000","state":"WV","issuer":null},{"type_code":"05","label":"Medicaid","value":"86000403","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"2273712","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040330001406","type_code":"12-47","type_desc":"PART B SUPPLIER - INDEPENDENT DIAGNOSTIC TESTING FACILITY (IDTF)","state":"KY","pac_id":"2365330081"},{"enrlmt_id":"O20040623001200","type_code":"12-47","type_desc":"PART B SUPPLIER - INDEPENDENT DIAGNOSTIC TESTING FACILITY (IDTF)","state":"OH","pac_id":"2365330081"}]},"enumeration_date":"2005-06-13","last_updated":"2007-12-17","_meta":{"source":"NPPES","snapshot_date":"2007-12-17","doc_url":"https://findmynpi.com/api"}}