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VASCULAR LABORATORY ASSOCIATES NPI 1750346912


NPI Information

NPI: 1750346912
Provider Name: VASCULAR LABORATORY ASSOCIATES
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
5000 W CHAMBERS ST
MILWAUKEE, WI
ZIP 53210
Phone: (414) 427-7820
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VASCULAR LABORATORY ASSOCIATES is a vascular surgery surgery in Milwaukee, WI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VASCULAR LABORATORY ASSOCIATES NPI is 1750346912. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5000 W CHAMBERS ST
MILWAUKEE, WI
ZIP 53210-650
Phone: (414) 427-7820

The provider's authorized official is James Van Heest .
The authorized official title is President and has the following contact phone number (414) 258-5130.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 10/25/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132714200MEDICAIDWISCONSIN
2CG2325OTHERWISCONSINRR MEDICARE

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: 4/28/2024

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