BATON ROUGE VASCULAR ACCESS ASC LLC NPI 1023542339

NPI Information

BATON ROUGE VASCULAR ACCESS ASC LLC is an ambulatory surgical clinic center in Baton Rouge, LA. BATON ROUGE VASCULAR ACCESS ASC LLC NPI is 1023542339. The provider is registered as an organization entity type.

The provider's business location address is:

505 E AIRPORT AVE
BATON ROUGE, LA
ZIP 70806-515
Phone: (225) 769-2572
Fax: (225) 769-2576

The provider's authorized official is Gregg Miller .
The authorized official title is Authorized Official and has the following contact phone number (610) 644-8900.

The CLIA number assigned to this NPI record is 19D2074475 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2017 and was last updated on 12/29/2020.

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:

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