GENESEE VASCULAR LABORATORY INC NPI 1205839412

NPI Information

  • NPI: 1205839412
  • Provider Name: GENESEE VASCULAR LABORATORY, INC
  • Classification: Specialist/Technologist, Other - 246Z00000X
  • Entity Type: Organization
  • Address: 919 WESTFALL RD
    STE B100
    ROCHESTER, NY
    ZIP 14618
  • Phone: (585) 454-6610

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NPI Details

GENESEE VASCULAR LABORATORY, INC is a specialist technologist other in Rochester, NY. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. GENESEE VASCULAR LABORATORY, INC NPI is 1205839412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

919 WESTFALL RD
STE B100
ROCHESTER, NY
ZIP 14618-628
Phone: (585) 454-6610
Fax: (585) 454-6564

The provider's authorized official is Thomas E Penn .
The authorized official title is Owner and has the following contact phone number (585) 454-6610.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 5/3/2012.

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
1246Z00000XSpecialist/Technologist, Other116335NEW YORKYes

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
1J300000054MEDICARE PINNEW YORK
200446337MEDICAIDNEW YORK
317888CMEDICARE ID-TYPE UNSPECIFIEDNEW YORK
403158289MEDICAIDNEW YORK

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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