PERIPHERAL VASCULAR INC. NPI 1437183670

NPI Information

  • NPI: 1437183670
  • Provider Name: PERIPHERAL VASCULAR, INC.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Other Name: VASCULAB
  • Address: 1100 ANDRE ST STE 101
    NEW IBERIA, LA
    ZIP 70563
  • Phone: (337) 369-9309

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NPI Details

PERIPHERAL VASCULAR, INC. is a vascular and interventional radiology radiology in New Iberia, LA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. PERIPHERAL VASCULAR, INC. NPI is 1437183670. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Vasculab.

The provider's business location address is:

1100 ANDRE ST STE 101
NEW IBERIA, LA
ZIP 70563-159
Phone: (337) 369-9309
Fax: (337) 365-8455

The provider's authorized official is Edward W Dauterive .
The authorized official title is Doctor and has the following contact phone number (337) 369-9309.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/22/2020.

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
12085R0204XRadiologyVascular & Interventional RadiologyYes

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
11339334MEDICAIDLOUISIANA

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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