LIFELINE VASCULAR CENTER - ALBANY LLC NPI 1861730855

NPI Information

NPI: 1861730855
Provider Name: LIFELINE VASCULAR CENTER - ALBANY, LLC

Doing Business As: VASCULAR HEALTH & WELLNESS CENTER

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 11D2006612

Address:
2300 DAWSON RD STE 100
ALBANY, GA
ZIP 31707
Phone: (229) 888-6466
Get Directions

LIFELINE VASCULAR CENTER - ALBANY, LLC is a vascular surgery surgery in Albany, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. LIFELINE VASCULAR CENTER - ALBANY, LLC NPI is 1861730855. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vascular Health & Wellness Center.

The provider's business location address is:

2300 DAWSON RD STE 100
ALBANY, GA
ZIP 31707-804
Phone: (229) 888-6466
Fax: (229) 888-5464

The provider's authorized official is Jason Lohmeyer .
The authorized official title is Cfo and has the following contact phone number (847) 949-3855.

The CLIA number assigned to this NPI record is 11D2006612 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/25/2013 and was last updated on 2/19/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RN0300X	Internal Medicine	Nephrology	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	No
3	2086S0129X	Surgery	Vascular Surgery	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003134472A	MEDICAID	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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