FORT WAYNE VASCULAR CARE LLC is an ambulatory surgical clinic center in Fort Wayne, IN. FORT WAYNE VASCULAR CARE LLC NPI is 1225684368. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nephrology Associates Of Northern Indiana Pc.
The provider's business location address is:
1833 MAGNAVOX WAY # 100
FORT WAYNE, IN
ZIP 46804-539
Phone: (260) 918-0997
Fax: (260) 436-7665
The provider's authorized official is Charisse Phipps .
The authorized official title is Contractor and has the following contact phone number (630) 974-5236.
The CLIA number assigned to this NPI record is 15D2164630 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/14/2019 and was last updated on 11/2/2021.