Demonstrates role-specific competence and assists physicians in diagnosing and treating cardiac and peripheral vascular disease and cardiac arrhythmias in the CathLab, EP Lab, and Hybrid ORspecializing in the care of patients undergoing angioplasty, stent placement, vascular procedures, mechanical support device placement (IABP, non-durable ventricular assist device, etc.), EP devices, cardiac ablations, and tilt table exams. Level III: Two years of experience as a Cardiovascular Invasive Specialist plus ladder requirements Provisional III Status: External hires into the CVIS III must be approved by DUHS Cardiac Catheterization and Electrophysiology Labs Operations Leaders.