Diagnostic Vascular Laboratory, Llc

LBN: Diagnostic Vascular Laboratory, Llc
Diagnostic Vascular Laboratory, Llc is an health care organization with primary practice located at 3911 Castlevale Rd Suite 105, Yakima WA 98902-7807. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as the primary health care specialty. Diagnostic Vascular Laboratory, Llc can be contacted via phone (509) 575-7652, or through Youngstrom, Susan via phone (509) 575-7652.

Contact Information

Primary practice address
3911 Castlevale Rd Suite 105 Yakima WA 98902-7807
Phone: (509) 575-7652
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Youngstrom, Susan
Phone: (509) 575-7652

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1023154465
LBN Legal business name Diagnostic Vascular Laboratory, Llc
DBA Doing business as
Authorized official Youngstrom, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 20th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023154465 NPPES
Washington MEDICAID 7017049

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