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MOUNT SINAI VASCULAR INSTITUTE LLC NPI 1962179838


NPI Information

NPI: 1962179838
Provider Name: MOUNT SINAI VASCULAR INSTITUTE, LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 10D2152464

Address:
6050 W 20TH AVE FL 3
HIALEAH, FL
ZIP 33016
Phone: (305) 674-2906
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MOUNT SINAI VASCULAR INSTITUTE, LLC is a vascular and interventional radiology radiology in Hialeah, FL. 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. MOUNT SINAI VASCULAR INSTITUTE, LLC NPI is 1962179838. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6050 W 20TH AVE FL 3
HIALEAH, FL
ZIP 33016-605
Phone: (305) 674-2906
Fax: (305) 674-3927

The provider's authorized official is Wayne Chutkan .
The authorized official title is Senior Vp Finance and has the following contact phone number (305) 674-2121.

The CLIA number assigned to this NPI record is 10D2152464 - other - free standing er with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2021 and was last updated on 8/27/2021.


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
12086S0129XSurgeryVascular SurgeryNo
22085R0204XRadiologyVascular & Interventional RadiologyYes

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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