METROVASCULAR LLC NPI 1184167546

NPI Information

  • NPI: 1184167546
  • Provider Name: METROVASCULAR, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: METRO VASCULAR CENTER
  • CLIA Number: 39D1093550
  • Address: 235 N BROAD ST
    SUITE 100
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 568-6822

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NPI Details

METROVASCULAR, LLC is an ambulatory surgical clinic center in Philadelphia, PA. METROVASCULAR, LLC NPI is 1184167546. The provider is registered as an organization entity type.
The provider Is Doing Business As Metro Vascular Center.

The provider's business location address is:

235 N BROAD ST
SUITE 100
PHILADELPHIA, PA
ZIP 19107-511
Phone: (215) 568-6822
Fax: (215) 568-6833

The provider's authorized official is Maria Mendez .
The authorized official title is Medical Director and has the following contact phone number (215) 568-6822.

The CLIA number assigned to this NPI record is 39D1093550 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2016 and was last updated on 12/2/2016.

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 License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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