VASCULAR SPECIALISTS LLC NPI 1164435152

NPI Information

NPI: 1164435152
Provider Name: VASCULAR SPECIALISTS, LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
8865 W 400 N
SUITE 175
MICHIGAN CITY, IN
ZIP 46360
Phone: (219) 877-2225
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VASCULAR SPECIALISTS, LLC is a vascular and interventional radiology radiology in Michigan City, IN. 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. VASCULAR SPECIALISTS, LLC NPI is 1164435152. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8865 W 400 N
SUITE 175
MICHIGAN CITY, IN
ZIP 46360-222
Phone: (219) 877-2225
Fax: (219) 877-2230

The provider's authorized official is Charles William Tattersall .
The authorized official title is Member - President and has the following contact phone number (219) 877-2225.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 11/25/2008.

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
1	2085R0204X	Radiology	Vascular & Interventional Radiology			Yes

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
1	258490	MEDICARE PIN	INDIANA

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

NPI Synchronization or Removal

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