CLINICAL NEPHROLOGY ASSOC INC PC NPI 1225576978

NPI Information

NPI: 1225576978
Provider Name: CLINICAL NEPHROLOGY ASSOC INC PC

Doing Business As: METRO VASCULAR CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
235 N BROAD ST
SUITE 100
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 568-6822
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CLINICAL NEPHROLOGY ASSOC INC PC is an ambulatory surgical clinic center in Philadelphia, PA. CLINICAL NEPHROLOGY ASSOC INC PC NPI is 1225576978. The provider is registered as an organization entity type and is a multi-specialty group.
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
Phone: (215) 568-6822
Fax: (215) 568-6833

The provider's authorized official is Jennifer Maximenko .
The authorized official title is Facility Administrator and has the following contact phone number (215) 568-6822.

The CLIA number assigned to this NPI record is 39D0903471 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/2/2017 and was last updated on 7/25/2018.

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
1	207RI0011X	Internal Medicine	Interventional Cardiology	22381501	PENNSYLVANIA	No
2	207RN0300X	Internal Medicine	Nephrology			No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	22381501	PENNSYLVANIA	No
4	2086S0129X	Surgery	Vascular Surgery	22381501	PENNSYLVANIA	No
5	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 11/14/2023

NPI Synchronization or Removal

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