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PAUL L VAUGHN ASSOCIATES LLC NPI 1548376304


NPI Information

NPI: 1548376304
Provider Name: PAUL L VAUGHN ASSOCIATES LLC

Doing Business As: DESERT VASCULAR IMAGING

Classification: Radiologic Technologist - 2471V0106X
Entity Type: Organization

Specialization: Vascular-Interventional Technology

Address:
2204 S DOBSON RD STE 204
MESA, AZ
ZIP 85202
Phone: (480) 491-4101
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PAUL L VAUGHN ASSOCIATES LLC is a vascular-interventional technology radiologic technologist in Mesa, AZ. The provider is definition to come. PAUL L VAUGHN ASSOCIATES LLC NPI is 1548376304. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Desert Vascular Imaging.

The provider's business location address is:

2204 S DOBSON RD STE 204
MESA, AZ
ZIP 85202-457
Phone: (480) 491-4101
Fax: (480) 491-4102

The provider's authorized official is Paul Vaughn .
The authorized official title is Owner and has the following contact phone number (480) 491-4101.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 12/20/2007.


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
12471V0106XRadiologic TechnologistVascular-Interventional Technology24144ARIZONAYes

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
1Z73409MEDICARE PINARIZONA
2G29330MEDICARE UPINARIZONA
3390948MEDICAIDARIZONA

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: 11/14/2023

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