VASCULAR ASSOCIATES OF SOUTH ALABAMA LLC NPI 1801282868

NPI Information

VASCULAR ASSOCIATES OF SOUTH ALABAMA, LLC is a vascular surgery surgery in Mobile, AL. 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 ASSOCIATES OF SOUTH ALABAMA, LLC NPI is 1801282868. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1551 OLD SHELL RD
MOBILE, AL
ZIP 36604-354
Phone: (251) 410-8272
Fax: (251) 410-8273

The provider's authorized official is Andrew Radoszewski .
The authorized official title is Practice Administrator and has the following contact phone number (251) 300-6969.

The CLIA number assigned to this NPI record is 01D2150655 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2015 and was last updated on 4/19/2019.

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:

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