OrganizationActive
Cardiovascular Specialists of America, LLC
NPI 1871190215 · Clinical Cardiac Electrophysiology Physician · Pocatello, ID
Provider details
- NPI number
- 1871190215
- Entity type
- Organization
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lance Longmore, Owner(208) 760-7707
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1515 E Clark St
Pocatello, ID 83201-4133
Phone: (000) 000-0000
Approximate (ZIP-level) locationGet directions
Mailing address
1515 E Clark St
Pocatello, ID 83201-4133
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2020-10-08
- Certified
- 2020-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.