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ADVANCED VASCULAR CENTERS EUGENE LLC NPI 1255091955


NPI Information

NPI: 1255091955
Provider Name: ADVANCED VASCULAR CENTERS EUGENE LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 38D2156760

Address:
1200 GATEWAY LOOP
SPRINGFIELD, OR
ZIP 97477
Phone: (503) 683-7730
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ADVANCED VASCULAR CENTERS EUGENE LLC is a vascular and interventional radiology radiology in Springfield, OR. 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. ADVANCED VASCULAR CENTERS EUGENE LLC NPI is 1255091955. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 GATEWAY LOOP
SPRINGFIELD, OR
ZIP 97477-176
Phone: (503) 683-7730

The provider's authorized official is Charles T Mcglade .
The authorized official title is President and has the following contact phone number (503) 683-7730.

The CLIA number assigned to this NPI record is 38D2156760 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2021 and was last updated on 12/21/2021.


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
1207RN0300XInternal MedicineNephrologyNo
22085R0204XRadiologyVascular & Interventional RadiologyYes
32086S0129XSurgeryVascular SurgeryNo

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: 5/5/2024

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