Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cardiac Molecular PET Imaging LLC

Organization Physiological Laboratory · NPI 1629586458

Cardiac Molecular PET Imaging LLC is a Physiological Laboratory in San Jose, California. Licensed in Nevada. Registered with an NPI since 2018.

Licensed in
NV
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2030 Forest Ave Ste 110
San Jose, CA 95128-4833
Phone: (702) 817-0375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X · Licence NV20161669909 (NV)

Record details

NPI number1629586458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Ballow — Vice President · (702) 817-0375
NPI enumeratedJanuary 15, 2018
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address5944 Mahogany Mountain Dr, Las Vegas, NV 89142-1685

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