Vascular Laboratory Of Santa Rosa, Inc. in Santa Rosa - Vascular Sonography

Vascular Laboratory Of Santa Rosa, Inc. - NPI 1821202003

Vascular Laboratory Of Santa Rosa, Inc. is a Vascular Sonography in Santa Rosa, California. Vascular Laboratory Of Santa Rosa, Inc. practices all healthcare services and medical treatments related to Vascular Sonography. The NPI Number for Vascular Laboratory Of Santa Rosa, Inc. is 1821202003. The last update date is 2020-08-22.

Vascular Laboratory Of Santa Rosa, Inc.'s current location address is 1111 Sonoma Ave Ste 322, Santa Rosa, California. You can contact this provider via phone number 7075761522 and fax number 7075761523. The mailing address for Vascular Laboratory Of Santa Rosa, Inc. is 1111 Sonoma Ave Ste 322, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Vascular Laboratory Of Santa Rosa, Inc.
Address 1111 Sonoma Ave Ste 322, Santa Rosa, California
Phone Number 7075761522
Fax Number 7075761523
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGING D
Authorized Official Name Richardson Robert
Credentials M.D.
Telephone Number 7075452436

NPI Number Detail

NPI Number 1821202003
Provider Enumeration Date 2007-05-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1111 Sonoma Ave Ste 322
City Santa Rosa
State California (CA)
Post Code 954054820
Phone Number 7075761522
Fax Number 7075761523

Provider's Primary Taxonomy Detail

Speciality Vascular Sonography
Taxonomy 2471V0105X
Licence No C1090923
Definition:
A radiologic technologist who specializes in vascular sonography and is trained in the use of ultrasound equipment to image veins and arteries, which health care providers use to diagnose and treat various vascular conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GR0006300 CA --

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FAQs about Vascular Laboratory Of Santa Rosa, Inc.

What is the unique identifier code issued to Vascular Laboratory Of Santa Rosa, Inc. by the Centers for Medicare & Medicaid Services (CMS)?

The Vascular Laboratory Of Santa Rosa, Inc. has been assigned the NPI (National Provider Identifier) 1821202003. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Vascular Laboratory Of Santa Rosa, Inc.?

The Vascular Laboratory Of Santa Rosa, Inc. is situated at 1111 Sonoma Ave Ste 322, in the city of Santa Rosa, state of CA, with the zip code 954054820.

What is the Vascular Laboratory Of Santa Rosa, Inc.'s area of specialization and corresponding taxonomy classification?

The Vascular Laboratory Of Santa Rosa, Inc.'s specialty field is Vascular Sonography, and it falls under the taxonomy code 2471V0105X, which categorizes healthcare providers based on their specialties.

On what date did Vascular Laboratory Of Santa Rosa, Inc. receive its 1821202003 assignment from the Centers for Medicare & Medicaid Services?

The Vascular Laboratory Of Santa Rosa, Inc. was assigned its 1821202003 on 2007-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Vascular Laboratory Of Santa Rosa, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Vascular Laboratory Of Santa Rosa, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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