Cardiac Diagnostic Monitoring Systems
NPI 1720782105ActiveOrganization· Physiological Laboratory· Santa Clara, CA
Physiological Laboratory in Santa Clara, California, registered in NPPES in March 2023. The authorized official on file is Thomas Fry, Sole Member.
Overview
| NPI | 1720782105 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2023 |
| Last updated in NPPES | Mar 29, 2023 |
| Certified by provider | Jan 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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