PALESTINE VASCULAR LAB LLC NPI 1346896982

NPI Information

  • NPI: 1346896982
  • Provider Name: PALESTINE VASCULAR LAB, LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 300 WILLOW CREEK PKWY STE 100
    PALESTINE, TX
    ZIP 75801
  • Phone: (903) 729-2888

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NPI Details

PALESTINE VASCULAR LAB, LLC is a medical specialty clinic center in Palestine, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PALESTINE VASCULAR LAB, LLC NPI is 1346896982. The provider is registered as an organization entity type.

The provider's business location address is:

300 WILLOW CREEK PKWY STE 100
PALESTINE, TX
ZIP 75801-433
Phone: (903) 729-2888
Fax: (903) 729-2781

The provider's authorized official is Tony Rotondo .
The authorized official title is Vp Of Operations and has the following contact phone number (713) 539-7477.

The enumeration date for this NPI number is 8/9/2019 and was last updated on 11/18/2019.

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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QM2500XClinic/CenterMedical SpecialtyYes

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: 3/30/2025

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