| NPI | 1205564663 |
|---|---|
| Doing Business As | QUEENSRIDGE CARDIOLOGY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT LERMA Administrator 702-589-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |