Kenosha Vascular Lab Inc in Kenosha - Specialist
Kenosha Vascular Lab Inc - NPI 1033246152
Kenosha Vascular Lab Inc is a Specialist in Kenosha, Wisconsin. Kenosha Vascular Lab Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kenosha Vascular Lab Inc is 1033246152. The last update date is 2020-08-22.
Kenosha Vascular Lab Inc's current location address is 6308 8th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2626568265 and fax number 2626568273. The mailing address for Kenosha Vascular Lab Inc is 6308 8th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenosha Vascular Lab Inc |
|---|---|
| Address | 6308 8th Ave, Kenosha, Wisconsin |
| Phone Number | 2626568265 |
| Fax Number | 2626568273 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cook G Robert |
| Telephone Number | 2626568265 |
NPI Number Detail
| NPI Number | 1033246152 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6308 8th Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531435031 |
| Phone Number | 2626568265 |
| Fax Number | 2626568273 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 22193 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Kenosha Vascular Lab Inc's 1033246152?
The Kenosha Vascular Lab Inc's NPI (National Provider Identifier) Number is 1033246152. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kenosha Vascular Lab Inc is located?
The Kenosha Vascular Lab Inc is situated at the following address: 6308 8Th Ave, Kenosha, WI, 531435031.
What is Kenosha Vascular Lab Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenosha Vascular Lab Inc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033246152 to Kenosha Vascular Lab Inc?
The Centers for Medicare & Medicaid Services originally issued the 1033246152 to Kenosha Vascular Lab Inc on 2007-02-27.
When was the information related to Kenosha Vascular Lab Inc most recently updated or refreshed?
The details pertaining to the Kenosha Vascular Lab Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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