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VASCULAR ACCESS CENTER OF SOUTHWEST LOUISIANA LLC NPI 1609012657


NPI Information

NPI: 1609012657
Provider Name: VASCULAR ACCESS CENTER OF SOUTHWEST LOUISIANA LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
1340 SURREY ST
SUITE 101
LAFAYETTE, LA
ZIP 70501
Phone: (337) 205-4330
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VASCULAR ACCESS CENTER OF SOUTHWEST LOUISIANA LLC is a vascular and interventional radiology radiology in Lafayette, LA. 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. VASCULAR ACCESS CENTER OF SOUTHWEST LOUISIANA LLC NPI is 1609012657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1340 SURREY ST
SUITE 101
LAFAYETTE, LA
ZIP 70501-618
Phone: (337) 205-4330
Fax: (337) 205-4331

The provider's authorized official is James Frederick Mcguckin .
The authorized official title is Ceo/medical Director and has the following contact phone number (215) 382-3680.

The enumeration date for this NPI number is 12/22/2008 and was last updated on 8/11/2009.


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 RadiologyMD.202013LOUISIANAYes

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
15DH19MEDICARE PINLOUISIANA

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

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