1. Home
  2. Directory
  3. California
  4. San Jose
  5. Physiological Laboratory
  6. NPI Profile

CARDIAC MOLECULAR PET IMAGING LLC
NPI 1629586458
Physiological Laboratory in San Jose, CA

Active since January 15, 2018
2030 FOREST AVE STE 110, SAN JOSE, CA 95128(702) 817-0375 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2021, Jan 15, 2018 (2 updates tracked since 2018).

About Cardiac Molecular Pet Imaging Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARDIAC MOLECULAR PET IMAGING LLC (NPI 1629586458) is a healthcare organization registered as a physiological laboratory in San Jose, California and active in the NPI registry since January 2018. The organization lists James Ballow, Vice President, as its authorized official.

NPPES Registry Identity

NPI1629586458
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameCARDIAC MOLECULAR PET IMAGING LLC
Location Address2030 FOREST AVE STE 110San Jose, CA 95128-4833
Mailing Address5944 Mahogany Mountain DrLas Vegas, NV 89142-1685 · (702) 817-0375
Phone(702) 817-0375
Organization SubpartNo
Authorized OfficialJames BallowVice President · (702) 817-0375
Enumeration DateJanuary 15, 2018
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1629586458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
License✔ Licensed in NV · NV20161669909
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
2030 FOREST AVE STE 110, San Jose, CA 95128
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Clinic/Center (Federally Qualified Health Center (FQHC))
2030 FOREST AVE STE 110
SAN JOSE, CA 95128
Santa Clara County (408) 445-3400
DR. JAMES BARRETT WEIDNER M.D.
Internal Medicine (Cardiovascular Disease)
2030 FOREST AVE STE 110
SAN JOSE, CA 95128
Santa Clara County (408) 294-7725

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cardiac Molecular Pet Imaging LLC's NPI number?

The NPI number for Cardiac Molecular Pet Imaging LLC is 1629586458. It was assigned to this organization in the NPPES registry on January 15, 2018.

Where is Cardiac Molecular Pet Imaging LLC located?

Cardiac Molecular Pet Imaging LLC is located at 2030 Forest Ave Ste 110, San Jose, CA 95128. The listed phone number is (702) 817-0375.

What is Cardiac Molecular Pet Imaging LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Cardiac Molecular Pet Imaging LLC was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.