Provider First Line Business Practice Location Address: 
105 DRY HILL ROAD
    Provider Second Line Business Practice Location Address: 
WIRELESSDX CARDIAC MONITORING SERVICE CENTER
    Provider Business Practice Location Address City Name: 
HYDEN
    Provider Business Practice Location Address State Name: 
KY
    Provider Business Practice Location Address Postal Code: 
41749-8929
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
606-672-2600
    Provider Business Practice Location Address Fax Number: 
606-672-2604
    Provider Enumeration Date: 
03/23/2011