EAST TEXAS CARDIOVASCULAR LABS, LLC
NPI 1689693830
Clinic/Center - Radiology in Nacogdoches, TX

Active since July 19, 2006
1303 N MOUND ST, NACOGDOCHES, TX 75961(936) 560-1844(936) 715-9135 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About East Texas Cardiovascular Labs, Llc NPPES

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

EAST TEXAS CARDIOVASCULAR LABS, LLC (NPI 1689693830) is a healthcare organization registered as a radiology in Nacogdoches, Texas and active in the NPI registry since July 2006. The organization lists Prabhakar R Guniganti, Owner, as its authorized official.

NPPES Registry Identity

NPI1689693830
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameEAST TEXAS CARDIOVASCULAR LABS, LLC
Location Address1303 N MOUND STNacogdoches, TX 75961-4030
Mailing Address1303 N Mound StNacogdoches, TX 75961-4030 · (936) 560-1844 · Fax (936) 715-9135
Fax(936) 715-9135
Organization SubpartNo
Authorized OfficialPrabhakar R GunigantiOwner · (936) 560-1844
Enumeration DateJuly 19, 2006
Last NPPES UpdateMarch 12, 2013
NPI 1689693830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License Licensed in TX · 008031
1303 N MOUND ST, Nacogdoches, TX 75961

Other Identifiers 4

Medicare ID-Type Unspecified470001436TX · Railroad Medicare #
Medicare PINFTK006TX
OtherHH1807TX · Blue Cross Provider #
Medicaid034329502TX

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Ambulatory Surgical)
1303 N MOUND ST
NACOGDOCHES, TX 75961
Clinic/Center (Primary Care)
1303 N MOUND ST
NACOGDOCHES, TX 75961
Clinic/Center (Primary Care)
1303 N MOUND ST
NACOGDOCHES, TX 75961
Clinical Medical Laboratory
1303 N MOUND ST
NACOGDOCHES, TX 75961

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 East Texas Cardiovascular Labs, LLC's NPI number?

The NPI number for East Texas Cardiovascular Labs, LLC is 1689693830. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is East Texas Cardiovascular Labs, LLC located?

East Texas Cardiovascular Labs, LLC is located at 1303 N Mound St, Nacogdoches, TX 75961. The listed phone number is (936) 560-1844.

What is East Texas Cardiovascular Labs, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for East Texas Cardiovascular Labs, LLC was last updated on March 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.