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CENTER FOR VASCULAR INTERVENTION LLC NPI 1295256311


NPI Information

NPI: 1295256311
Provider Name: CENTER FOR VASCULAR INTERVENTION LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 11D2190882

Address:
5505 PEACHTREE DUNWOODY RD STE 370
ATLANTA, GA
ZIP 30342
Phone: (770) 538-1772
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CENTER FOR VASCULAR INTERVENTION LLC is a vascular and interventional radiology radiology in Atlanta, GA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. CENTER FOR VASCULAR INTERVENTION LLC NPI is 1295256311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5505 PEACHTREE DUNWOODY RD STE 370
ATLANTA, GA
ZIP 30342-713
Phone: (770) 538-1772
Fax: (770) 538-1773

The provider's authorized official is Douglas C. Redd .
The authorized official title is Owner and has the following contact phone number (770) 538-1772.

The CLIA number assigned to this NPI record is 11D2190882 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2017 and was last updated on 10/31/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14551596OTHERGEORGIAAETNA/COVENTRY
21295256311OTHERGEORGIAGROUP NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.