GENESEE VASCULAR LABORATORY INC NPI 1205839412

NPI Information

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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